Does the nose get bigger/wider when derotating the nasal tip or lengthening the nose?

Hi, lengthening the tip to decrease the nostril show or to correct upturned nose will not add 'bulk' on the tip. These procedures need cartialge graft but most of the grafts will position in the center and this is not related with adding more volume of the tip. With derotation and lengthening, the nose still can look slim. Correcting nostril show may strengthen and thus makes the alar not soft, but no volume increase. Thanks.

A change in the nasal length will require grafts to stabilise the shape but in many instances this facilitates increase definition through the increased tension in the nasal tip skin. Planning the lengthening has to be done carefully and will indeed impact on the nostril show.Lengthening the nose requires stable support and therefore it is likely that the tip of the nose will feel firmer following the intervention whether septal cartilage or rib cartilage is used. Ear cartilage is less reliable for nasal lengthening.

I looked at your photo from a week ago, which was less than a month post-op, and  your tip had dropped a gigantic amount! This is much too early to consider a revision, and I'll bet that you won't need a lengthening procedure at all. Which would be great, because they are quite complicated and only work, a little bit, in the very most expert of hands.Your nose dropped soooo much in the month after surgery, and it usually continues to drop for another few months, and it doesn't need to drop very much more for it to be long enough ... in sum, I'm rather optimistic about your nose right now. You might benefit from a revision eventually, but I'll bet it wouldn't be to lengthen the nose!