Shortening Nose Length During Rhinoplasty

What measures are taken to shorten the overall length of the nose during a Rhinoplasty surgery? 

Doctor Answers 18

Rhinoplasty to shorten the nose

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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!

Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

Shortening a long nose

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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.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

Shortening a long nose during Rhinoplasty

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A long nose is usually caused by a long nasal septum which defines the the bridge to nasal tip dimension, as well as the length and size of the tip cartilages called the lower lateral cartilages. Sometimes one or the other or both is the problem.

To shorten the nasal septum an internal nasal incision is made along the edge of the nasal septum where it can be shortened by removing some of this cartilage. There are a variety of maneuvers to change the length of the nasal tip cartilages; one commonly performed is removing a section of the nasal tip cartilages and overlapping the cartilage and suturing it back together. This is called a lower lateral cartilage overlay.

These are two common examples but there are many other maneuvers. These can be performed in both closed and open rhinoplasty. I prefer a closed approach when possible.

Andrew Jacono, MD
Manhattan Facial Plastic Surgeon
4.7 out of 5 stars 215 reviews

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Shortening a Nose

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There are many causes of a long nose. Different techniques or combinations of techniques are used. To summarize, typically the septum is shortened and/or the tip  cartilages are modified.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty to shorten length of nose

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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.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Shortening nose length during surgery

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A well-trained, experienced, competent rhinoplasty surgeon should have no problem shortening a long nose. In good hands, it is relatively easy to shorten a long nose. The surgical maneuvers are technical and are generally based upon shortening a long septum as well as refining the cartilages of the tip of your nose. It is very important that your surgeon assess the structure of your entire nose to be sure that the changes you desire are not taken out of context. The entire nose should be naturally contoured and to balance or fit the contours of your other facial features.

Your nose may be shortened with Rhinoplasty Surgery.

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The length of your nose is affected by the position of your septum, and the configuration of your tip cartilages. If you have a long nose and a droopy tip, you might benefit from a trim of your caudal (lower) septum, along with repositioning of the medial crurae of your lower lateral cartilages.

You should consult several board-certified, experienced Rhinoplasty specialists with many favorable photos before you proceed. Shortening a long nose is one of the more common conditions improved by Rhinoplasty Surgery, but the experience of your surgeon is most important.

I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

There are a number of way to shorten a nose in rhinoplasty

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The technique used to shorten a nose really depends on the cause. A long nose may be from a long septum, a hanging tip or some combination. Other causes can be excessively wide or long areas of the nasal tip cartilage and even bony overgrowth of what is called the nasal spine. So, the treatment really depends on the cause. You may need shortening of the septum, raising up the tip by pushing it upward, rotating it or even cutting and repositioning the tip cartilages. What is best for you can be determined at the time of consultation with a rhinoplasty expert.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Shortening length vs. projection of nose

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Before answering this question I would like to define the term "length" as it relates to the nasal dimensions. When I refer to the length of the nose, I refer to the distance between the tip of the nose and the origin of the nose close to the eyebrows. An upturned nose will appear shorter than a downturned, hooked nose.

The distance that the tip of the nose extends out from the face, away from the lower lip, as viewed on profile is called “projection”. Many times we need to increase projection and decrease the length of the nose. This would be with a hooked nose where the tip extends down towards the upper lip.

Most of the work involved in changing the length of the nose has to do with cartilaginous changes, both of the septum which give support to the cartilaginous lower part of the nasal bridge as well as the lower lateral cartilages that form the shape and substance of the tip of the nose. If the bony part of the dorsum, higher up, has appropriate dimensions there may be no need for bony work. This minimizing postoperative bruising.

Andrew Coundouriotis, MD
Saint Petersburg Facial Plastic Surgeon

Shortening a nose

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There are seceral ways to shorten the nose which includes manipulating the septum, the dorsum of the nose as well as the lower nasal cartilages.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.