Can a nose be shortened in height? I mean can a nose be shortened in its entirety?

Question

In the image a portion of the upper third of the nose is taken out to lift the entire parts below, making the nose wider near the eyes, because the middle third and lower third that are wider are no longer closer to the lip but higher. Can this be done?? I don't want to do it by the way. Just want to know if it is possible

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can undersant from your question It is not possible to make an accurate evaluation with the images you have specified, if you can send your own photos in a good light from the front and side profile, we can make a more accurate evaluation.
It would be better face to face consultation.
Best Regards!

Eric M. Joseph, MD · Answer

I enjoyed reviewing your sketches, and I completely understand your question. When we need to shorten somebody's nose, this tends to be performed by shortening the nasal septum, and sometimes by doing techniques to rotate the nasal tip upwards. Making an external incision at the root of the nose would lead to an external scar, and this is only done when there is skin cancer present. I hope this is helpful! Sincerely, Dr. Joseph

Ajaya Kashyap, MD · Answer

Thank you for your query. The nose is an anatomical structure but it has a lot of  physiology and function as well,  which  cannot and should not be disrupted in trying to improve the aesthetics. The upper third is the bony support and lower two thirds are largely cartilaginous. The nose can be shortened, of course, but not in this manner. Most of the shortening involves shortening the septum and the lower third. All the best!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Yes, in theory this could be done.  I highly recommend that my patients focus much more on real longterm before and after photographs rather than 3D imaging.   I encounter so many patients in my practice who see me for revision rhinoplasty who previously had surgery elsewhere who feel like they were mislead into surgery by surgeons who relied heavily on 3D imaging without adequate real before and after pictures to back it up.  Photoshop is easy but real surgery is very different.

I always recommend that you carefully evaluate your surgeon’s online before and after gallery on their website for both quality and quantity of results. Make sure that there are hundreds of real before and after pictures which demonstrate long-term follow up results. If your surgeon is posting mostly on table results without real long-term follow up results, that is usually a major red flag.  If a surgeon is posting mostly just splint removal day videos without longterm follow-up pictures, that can also be a red flag.   Long-term results are much more meaningful than on table results or 1 week post-op results.   Selfie’s can also be fun to look at, but these can often have a filter and do not represent true longterm results because of this and are not as valuable as real longterm in-office before and after photographs on your surgeon’s website.   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

Can a nose be shortened in height? I mean can a nose be shortened in its entirety?

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