Can I lengthen my nose and return it to its previous length?

A short nose can be lengthened in a variety ways. The most predictable and reliable is a technique that I have developed which is called tongue and groove technique. Extended spreader grafts (grafts on either side of teh septum extending beyond the existing septum, are used to elongate the short nose using cartilage from the septum or the rib. Ear cartilage can also be used if the needed elongation is minimal.

Unfortunately one of the most common mistakes done while performing rhinoplasty is to overly shorten or rotate the nose. When the nose is made shorter the upper lip is more exposed and looks longer. Lengthening or counter rotating a nose that has previously been operated on is one of the more frequently maneuvers that I find myself doing. There are several ways to go about handling such cases and the decision of precisely which technique to use will depend on the specifics of the individual patient. Almost universally such lengthening procedures require cartilage grafting and that cartilage might be taken from the nasal septum, the chest wall (costal cartilage) or the ears. In addition to lengthening the nose, the upper lip can be shortened if need be to achieve a more harmonious result.

If you want a revision of your nose then you will probably need grafts. It might be a good idea to look at earlier photos to compare. Good luck.