Could my Shortened Nose Be Made Longer Again? (photo)

Lengthening or augmenting noses is certainly possible and is rather routine in my practice. Adding to a nose in a way that is structurally sound and as natural as possible requires significant effort and time.  Discussion of the options and mechanisms of a revision surgery is always best done in an in-person consultation.   Depending on the amount of lengthening, and depending on whether you have nascent septal cartilage left in your nose, you may potentially need ear or rib cartilage graft to re-lengthen your nose.

Hi,

Based on the photo you have provided, it looks that the nose is proportionate to the facial features despite the angle of the photo.

That being said, if your situation does require extending your nasal tip then you will be looking at a cartilage graft in addition to the required manipulations so the results will look as natural as possible.

However, it is hard to provide you with specific details without examination.

Please remember that commendable results require an exceptionally skilled surgeon to perform the surgery and settling for anything less than that increases the chances of corrective surgeries dramatically.


I hope this helps.
Thank you for your inquiry.
The best of luck to you.

Dr. Sajjadian

The picture you actually submitted looks pretty good in my opinion. That being said it is possible to lengthen a shortened nose in several ways depending upon whether or not the septum was also shortened and needs to be lengthened or whether the tip needs to be lengthened and projected.

If a nose is too short (underprojected), it can be lengthened using tip sutures, possibly a caudal strut (a cartilage graft used to support the lower lateral cartilages at the base of the nose), and possibly with a tip graft (a cartilage graft placed on the lower cartilages to define and project the tip). Cartilage can be obtained from the nasal septum, ear, and less commonly the rib.

Projecting the nose is common in both primary rhinoplasty (first time surgeries) and revisions (repeat surgeries).

Make sure you give enough time for surgery to heal and for swelling to decrease (usually a year or more) before contemplating revision surgery. Discuss these issues with your surgeon.

Lastly, non-surgical rhinoplasty (filler injection) may be an option, although not permanent. Good luck.

There are certain procedures that can be performed to lengthen the shortened nose.  An exam in person would be best to determine how this can be accomplished for you.  Good luck.