Increasing the length of a congenitally short nose (Photo)

We do not utilize septal extension crafts in our practice, however, they may be employed for adding length to a congenitally short nose, and also for adding nasal tip projection. Based on your photos, you appear to have a wide nasal appearance, with an underprojected nasal tip. I believe you would benefit more from nasal tip projection then from nasal lengthening. Please consider visiting with several reputable rhinoplasty specialist who are familiar with advanced rhinoplasty techniques so you could see what to expect moving forward. Thank you for this question. Sincerely, Dr. Joseph

If you do not like the distance between the nose and upper lip then you would benefit from a lip lift, not a rhinoplasty. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $3,000.

Best Wishes,

Gary Horndeski, M.D.

Thank you for your query. A septal extension graft as well a cartilage tip graft will increase the length of your nose. A shortening of the upper lip, that is the distance between the lip and the nose does not pull the nasal base down, rather it lifts the upper lip., and hence will not be very useful. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!