Septum Cartilage Grafts to Lengthen Tip?

Can you use septum cartilage to lengthen the tip or does it have to be ear or rib? It'd be about a millimeter and how do you turn the tip down a little?

Doctor Answers 16

Lenthening the nose

Noses can be lengthened. although its less common than shortening the nose. The algorithm is- use tip cartilage repositioning techniques first, then add cartilage from the septum, or ear and finally rib. Please see an experienced Rhinoplasty surgeon. Good luck.

Toronto Facial Plastic Surgeon
5.0 out of 5 stars 89 reviews

The Use of Septal Corrective Grafts in Rhinoplasty

The most important and versatile cartilage used in rhinoplasty is in the septum. It is my favorite for both the dorsal augmentation and tip rhinoplasty.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
4.9 out of 5 stars 61 reviews

Septal cartilage graft preferred for nasal tip surgery

Septal cartilaginous grafts are the best source of cartilage for any type of nasal tip surgery. It is the preferred type of cartilage for cosmetic or reconstructive rhinoplasty procedures. If the nose cartilage has been depleted the second best option is ear cartilage. The next best option after that is rib cartilage. However, rib has a disadvantage of being very stiff, it warps, and can make the tip feel very hard and wood like.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

Cartilage or fillers may lengthen nose

Lengthening a nose is dependent on several factors, tightness of the skin, and existing framework. If a patient has some looseness of the skin, injecting a filler may help to lengthen the tip. Crushed cartilageor cartilage graft  from the septum or ear can acheive the goals as well, however require a surgical procedure.

Brian Maloney, MD, FACS
Atlanta Facial Plastic Surgeon
4.7 out of 5 stars 30 reviews

Lengthening the nose

Using septal cartilage to lengthen the nose and turn it down is an unusual request.  Our usual request is to shorten the nose and turn the tip up slightly.  This is because those elements give a more youthful and aesthetic appearance.  A longer and down-turned nose generally is felt to look older and less aesthetic.  Having said all this, yes, the cartilage manipulation can be used to approximate what you  desire.  I would suggest video imaging to facilitate the discussion with your surgeon.


Tal Raine MD

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

Septal Cartilage Grafts to Lengthen Nose

Yes, septal cartilage grafts, if available, can be used to lengthen your nose. If you only need "one millimeter" of lengthening, a graft may not  be necessary -  repositioning the tip might achieve the desired result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Septal cartilage to lengthen the nose.

Septal cartilage can do both lengthening and derotation of the nose. See an experienced rhinoplasty surgeon for the best results.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Nasal Septal Cartilage Grafts Are Used to Lengthen Short Nose

Hi Unhappy Gal,

Yes, nasal septal cartilage can be used to lengthen the nose.  The tip can be de-rotated in a number of different ways.  Best to consult with a few experienced rhinoplasty specialists, and then choose your rhinoplasty surgeon most carefully.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Nasal septal cartilage is the best choice

Nasal septal cartilage would be the best and first-line choice for any grafts used during rhinoplasty. That being said, depending on what goals you're looking to achieve and the quality of the cartilages supporting your tip currently, a determination would be made regarding if any grafts would be necessary in the first place. For example, turning a tip down or counter-rotation may or may not require a cartilage graft.

Corey S. Maas, MD
San Francisco Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Septal Extension Grafts

Septal cartilage is the ideal material to use when the septum needs to be lenghtened or modified. This is not an unusual procedure in revision rhinoplasty, and some initial rhinoplasty operations. When septal cartilage is not available, ear or rib cartilage can be used.

Ira D. Papel, MD
Baltimore Facial Plastic Surgeon
4.9 out of 5 stars 31 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.