Is there a way to lengthen my nose without raising my tip? (photos)

Question

So I would like to get radix grafting to vertically lengthen my nose from the front but also would more tip projection. Many other patients want to reduce tip dropping, but I actually want to KEEP my tip drooping so that my philtrum doesn't appear longer after surgery. I am worried that getting cartilage on the tip and bridge will stiffen it up too much. I appreciate any assistance!

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with a facial plastic surgeon who can examine you and give you opinion based on your needs and expectations.

Eric M. Joseph, MD · Answer

Based on your photos, you have a pleasing masculine nasal appearance. In my opinion, you may not look better with a longer nasal appearance, and it may be a difficult undertaking requiring septal extension grafting and extended spreader grafts. It's probably best to meet with several reputable rhinoplasty specialists to discuss your concerns. Computer imaging may be helpful for establishing goals. Thank you for your question, and I wish you well moving forward. Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a dorsal onlay graft consisting of diced cartilage wrapped in fascia. Tip projection can also be added 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

Is there a way to lengthen my nose without raising my tip? (photos)

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