Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX: Thank you for your question and for sharing your profile photo — it really helps in evaluating your nasal proportions. Yes, it is absolutely possible to lengthen a short nose with rhinoplasty, especially when the concern is a nose that appears “over-rotated” or upturned. This often happens naturally or as a result of prior surgery or trauma, and it can create the appearance of a shortened or scooped profile. Lengthening the nose typically involves: • Cartilage grafting, often from the septum, ear, or rib, to extend the nasal tip and restore structure • Supportive tip work to project and reposition the tip downward in a balanced, elegant way • Carefully refining the bulbous tip, which is often due to wide or prominent lower lateral cartilages and/or thick skin From your photo, it looks like a combination of tip refinement and lengthening would create a more harmonious profile and address both of your concerns. These changes can be subtle but powerful in bringing more balance and definition to your facial features. This type of rhinoplasty requires advanced skill, especially when rebuilding and reshaping the nasal tip, so it’s important to work with a board-certified plastic surgeon who is also a member of The Rhinoplasty Society — someone who has specialized experience in both primary and revision nasal surgery. At Lone Star Plastic Surgery, I take a custom, anatomy-driven approach to rhinoplasty, with a strong emphasis on both aesthetics and long-term structural support. Warmly,Dr. Sean HillBoard-Certified Plastic SurgeonLone Star Plastic Surgery – Frisco, TX