Shortening Nose Length During Rhinoplasty

Shortening the nose can be achieved in a number of ways. However, much like other aspects of rhinoplasty, a personal evaluation by an experienced surgeon is very important here. This is because overall facial balance must be taken into account to determine
1. if indeed the nose is too long;
2. the reason for excess length (septum, bones, other issues);
3. any other issues that need to be addressed as a result of shortening.
The last issue is important. Any time one issue is addressed in rhinoplasty, other issues may come up as a result. For this reason, an experienced surgeon can help guide you through this process. You may find computer imaging helpful--it may allow you to visualize what will happen if the nose is shortened.
Good luck to you!

Shortening the length of the nose can be performed through a rhinoplasty by reducing the caudal length of the septum, which alters both the shortness and the nasofacial angle.
Additionally, upward rotation can be achieved through a combination of tip techniques including structural cartilage grafting and sewing the tip cartilages together with dome-binding suture. Further upward rotation and shortening of the nose can be done with a cartilaginous strip graft.

The nose can be shortened by reducing the lower lateral cartilages and trimming the end of the septum. It may also help to support the tip of the nose.
However, if too much skin is present, the degree of shortening will be limited by the amount of skin present.
An experienced rhinoplasty surgeon can go over what is realistic with your particular situation.