It is possible to shorten the nose without turning the tip of the nose up too high. An exam would be necessary to provide you with advice. I would recommend the following:
1) An exam with a board certified rhinoplasty surgeon
2) Computer morphing, which will give you an idea of how the final result may appear
The tip can also be narrowed, and the size of the nostrils can be reduced with alarplasty. I hope this helps, and I wish you the best of luck.
Even if you had submitted pictures it would not have been possible to answer this question intelligently, because an experienced plastic surgeon would definitely want to examine your nose before answering such a question. There are many variations to the nasal structures and many layers of healing that come into play when surgery is done and all of these layers of healing interact with each other.
Nasal length, nasal projection, and nasal tip angulation (termed nasolabial angle) can all be altered independent to each other. The maneuvers used to correct any or all of these concerns can be discussed with you in detail during your consultation.
In most cases, rotating the tip upward equals shortening the nose, however the the nose can also be shortened will maintaining the same nose-lip angle. This is more difficult and must be done carefully. Consult with a board certified facial plastic surgeon to see if you are a candidate.
Without any pictures, it very difficult to tell what can and cannot be performed. A rhinoplasty surgeon must be very careful when shortening an already over-rotated nose, so that it does not look surgical. For many examples of rhinoplasty please see the length below to our rhinoplasty photo gallery to see what can be accomplished with the procedure. We also have virtual rhinoplasty software available on our website located on the same link
I would really like to see photos to advise you further. That way I would know how much your nose needs to be shortened and the technique required.
In most cases, a nose can be shortened without necessarily causing the nasal tip to be more upturned. However, all cases are unique. Be certain to explain both your desires and concerns with your surgeon. Listen carefully to his/her recommendations and warnings before proceeding. Ask to see before and after photos of similar patients. Seek out a board certified plastic surgeon with extensive experience in rhinoplasty. Best wishes.
It is possible to do the procedures that you want done by addressing the tip cartilage, columella, as well as the bone at the base of the columella (nasal spine) at the same time. However, we cannot say that this procedure will be right for you without seeing you in person or even assessing your photos.
As the prior responses noted, it is difficult to determine what you might need without actually seeing your face. What you might be referring to is the actual columella that you feel may need to be 'shortened' as part of the rhinoplasty procedure. If your nose is already upturned, it would be risky to shorten the nose any further. In my experience, some patients use the term 'shorten' to also mean bringing the nasal tip closer to the face. It would be best to see a board certified facial plastic surgeon to really get a more accurate assessment of what you would benefit from most.
It is difficult to advise without photos or exam. Your surgeon needs to be careful with shortening an already upturned nose since this maneuver will usually worsen the situation. Good luck. Donald R. Nunn MD Atlanta Plastic Surgeon.