Short nose lengthening Revision rhinoplasty grafts. Any suggestions?

which type of septal extension grft would be used to derotate and lengthen a short nose? do spreader grafts always widen the nose? would a derotation graft be required ? do we have to have a shielf graft with lengthening the lateral crura? also, I believe I would require release of UL and LL cartilages to increase the rotation could all these techniques be used to derotate my nose or is it a this or the other situation?

Doctor Answers 4

Derotation graft?

If you are looking to derotate and extend you tip, you will likely quire a rib graft which can be obtained for you from an organ donor. Please see examples below.


Orange County Plastic Surgeon
4.9 out of 5 stars 45 reviews

Revision to Lengthen a Short Nose

Decreasing rotation may or may not require the placement of a septal extension graft. Spreader grafts do not always increase nasal width. It is difficult to make specific recommendations without seeing pictures of your nose. Every surgery needs to be individualized to meet the needs f each patient. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Lengthing a short nose

You are describing many different techniques which can be used to lengthen a short nose. It would depend on many factors as to which is better for your situation. I would recommend visiting with a few revision rhinoplasty surgeons so they can examine you in person and determine the best course of action.
Best of luck

David Reinstadler, MD
Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Revision rhinoplasty and septal extension grafts etc.

Revision rhinoplasty and septal extension grafts etc. are needed to lengthen the short nose and alar extension grafts are needed to derogate the lateral crura. I need to see photos to determine what you need. See a very experienced revision rhinoplasty surgeon who can show you his work.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.