Your concern is visible in the photo, and you have done a good job demonstrating the ideal correction. Elongation of the short nose is possible, and is limited by two factors. 1. The ability of the nose skin to expand (elongate), and 2. The availability of cartilage graft to extend the length of the nose internally. Another way to think about this is that the nose skin drapes over, and takes the shape of whatever scaffolding is built under it. In most patients, the skin expansion is not an issue, except in certain cases that do not apply here. Cartilage graft for the extension of the internal structures can be harvested from the septum, the ear, or even from the ribs. Recently, sterile donated cartilage grafts have also become very effective, as the processing techniques have improved. Therefore, it is very likely, that you can achieve the result you have shown. Dr. B.