Will my eyes get closer if I lengthen my nose? (Photo)

Question

I have an upturned nose with slightly wide-set eyes. When I pull the tip down and forward inner corners of the eyes stretch too. If I lengthen my nose and make it straighter, will it stretch them as well, as there is more bone/cartilage but amount of skin is the same? And if not, are there any other ways to pull the skin tighter with rhinoplasty?

Eric M. Joseph, MD · Answer

What you appear to be experiencing with nasal manipulation may not be achieved with nasal lengthening. Nasal lengthening may require septal extension grafts during rhinoplasty surgery. I hope this helps. Sincerely, Dr Joseph

Paul Durand, MD · Answer

If you lengthen your nose, while the skin in the nose does get stretched the bone and ligaments in the area around your eyes should not change. In turn, the distance between your eyes should not change after rhinoplasty. In order to make the skin in the nose "tighter" you need have a good cartilage structure underneath to, which the skin can now conform to. The skin also contracts to a certain degree as we see when the size of the nose is reduced. Hope this helps!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. It is difficult to predict exactly what will happen as you are describing based on these photographs alone. Tip derotation with extended spreader grafts can lengthen your tip and decrease nostril exposure by properly tensioning the tip, which I think would be a very nice result for you. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Will my eyes get closer if I lengthen my nose? (Photo)

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