Can the Skin on my Nose Stretch To Withhold a Revision To Lengthen Nose?

My nose was made so short and I really dislike it. I want my nose lengthened and want my non bulbous nose back. My doctor will use rib cartilage and well as a graft. The skin on my nose has contracted due to my nose being so short now. will he be able to stretch by nose enough to get my length back?

Doctor Answers 2

Can nasal skin stretch to accommodate nasal grafts in Revision Rhinoplasty?

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 It depends on how tight your nasal skin is at this point after your Rhinoplasty...which we can't determine from this photograph.  IMHO, rib grafts, bone grafts, irradiated cartilage and conchal cartilage ear grafts all have a tendency to dissolve unevenly over time and as such should be avoided.  You may want a series of second opinions before having your Revision surgery.

Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Stretching skin to re-lengthen nose

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The scar contracture that occurs with an overly shortened nose can make it more difficult to relengthen the nose. The key to lengthening the nose and stretching the skin is creating a strong enough internal nasal framework to counter-act these forces.

Rib cartilage is a great material for this purpose as it is very strong and will provide enough material for the needed grafting.

It would really take a hands on physical exam of your nose and nasal skin to give you a better idea of how well the skin will restretch, though. Another factor is how long your original surgery was. In the initial year or so after surgery the skin will be harder to stretch.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 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.