Is it possible to increase the vertical length of the nose from the front profile in order to fix a long philtrum? (Photos)

Question

is it possible and if so has it been done before to increase the vertical length of the nose from the front profile in order to fix a long philtrum wich is cause by a short nose commonly seen in African and asian people who commonly have this problem and no don't suggest any lip liftds because that will fix the long philtrum but will make face worse as midface is ideally proportionate with an ideal 1:1 ratio and ideal eye separation ratio of 0.46 and fwhr of 1:2 and lips are ideally full and ideally proportioned 1.4:1 so any augmentation of lip lift will just mess with both the midface and the lips wich will just make it worse than having the long phitrum as the problem is the nose, the nose just needs to be moved down the whole thing and this isn't a problem to be solved with increase in tip projection or rotation of the tip to create a more acute nasolabial angle as those are all fine the nose just needs to literally move down a few mm including the alar base and spetem just the whole thing if yk what I mean I hope I've made what I mean very clear as when I search for this online it just show with increasing nasal tip projection as well as rating nasal tip to create a more acute nasal labiral angle and increase the height of the nasal bridge for those with a very flat and if not almost non exisnat nasal bridge commonly seen in like east asians pls lmk only thing is lefort 2 mayb to increase nasal length but then do a lefort 1 to make the actual upper jaw bac

Eric M. Joseph, MD · Answer

Based on your single photo, you appear to have a pleasing facial and nasal profile appearance. You appear to have a bit of a retracted columella, which is associated with a short nasal septum, however, I'm not sure it's feasible to undergo surgery to improve upon this. Sometimes, we can achieve a bit of columella lowering, and an increased nose lip angle, with microdroplet Silikon-1000 injections for permanent results. I hope this helps! Sincerely, Dr Joseph

Gary M. Horndeski, MD · Answer

If you look carefully at the before and after photographs you provided, the biggest change is the distance between your upper lip and columella-lip junction. This makes you an ideal candidate for a lip lift, which I understand you do not want. However, there are a variety of lip lifts that can be done. The technique I recommend is an eccentric lip lift, which pulls up less centrally and more laterally to pull up the corners. Unfortunately, you have not provided a frontal view to assess. You said you want to make the nasal lip angle more acute. In women the angle should be 110 degrees and you are at less than 90 degrees at this time. A lip lift can do the same thing with less surgical intervention. A lip lift takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, it is possible to derotate your tip by placing extended spreader grafts and performing nasal tip deprojection at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty 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

RHINOPLASTY PROVIDERS NEAR YOU

Is it possible to increase the vertical length of the nose from the front profile in order to fix a long philtrum? (Photos)

Answers (3)

RHINOPLASTY PROVIDERS NEAR YOU