Ways to shorten the nose without rotating tip?

Hello and thank you for your question. Addressing the shape of the nose is actually one of the most common reasons people seek out and undergo a rhinoplasty. It's hard to tell exactly what specific maneuvers need to be done based on just your description without pictures- and of course your nose must be analyzed in the context of the rest of your face. An open septorhinoplasty though should be able to best address your nose- it is particularly effective at addressing the size, shape, and definition!

This truly a surgery of millimeters- and it requires exceptional surgical skill to achieve natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

If somebody has a long nasal septum and a hanging columella along with an obtuse nose lip angle, rhinoplasty techniques may be performed to shorten the nose and not increase the angle between the bottom of the nose in the upper lip. Please consider meeting with several reputable rhinoplasty specialist who offer computer imaging so goals may be established. Thank you for your question. Sincerely, Dr. Joseph

It is certainly possible to shorten the nose without rotating it. The correct techniques need to be done and it requires a rhinoplasty specialist to do it. Be sure you see a few surgeons that can do computer imaging at the same time so you know everyone is on the same page.

Hi
It is better for you to consult with a facial plastic surgeon who can examine you and discuss your case and the surgical procedure and post op recovery
process.

The "length" of the nose is from where it starts at the top, between your eyes, down to the tip. As you said, if the tip is already nicely elevated, then we don't want to elevate it more, but if the nose looks too long, then what to do?

The answer is that you work on the bridge, to make the point where the nose seems to begin *start in a lower position*, so it's not as far from the tip. That "point" where the nose begins at the top is called the nasion. Go to the link that I posted with this answer, read that page, and read the following two pages as well. (The pages are numbered in little squares toward the bottom: click "2" for page 2 and then click "3" for page 3.) They should give you a good idea what's going on.

How *much* to modify the bridge, or make other necessary or desired changes? Will working on the bridge shorten the nose in *your* situation? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Hello @Trustworthy877662, thank you for your question. When planning a surgical procedure, it is important to have a consultation and take into account your expectations as well as what the specialist can do. In a rhinoplasty procedure, the nose as a whole must be treated to create harmony, not just one part. It is essential to have a balanced approach, considering both the aesthetic and functional aspects of the procedure. Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP).

The simplest and most reliable way to shorten a nose is to trim cartilage from the lower edge of the septum. This was always a very standard part of rhinoplasty but many surgeons don’t do it, especially those doing open rhinoplasty. Almost every revision I see was left too long and the solution was obvious

Hello, shortening nose without rotating tip is possible. we are using some techniques for shortening nose without rotating nose tip.

Hello there! Yes, you can change the parameters you're referring to without affecting certain areas. The best way to convey goals is to have a surgeon take your photos and morph them. That allows you both to see the changes desired and talk about expectations. Sometimes, it's hard to find a similar nose with the changes you're requesting. Meet with multiple surgeons to see what may be possible. Hope this is useful to you.

Thank you for the question, I'm assuming by shortening the nose vertically you're saying to shorten the length from the radix (between your eyebrows) and the tip itself. The tip is held down by the septum, so we can shorten the septal cartilage- as long as the anterior septal angle isn't reduced, it will not over-rotate the tip, since it sounds like your tip has good rotation already