Does Lengthening the Tip with a Graft Contribute to Producing a Narrower Tip?

I recently had a rhinoplasty and my nose was overshortened and widened. Does lengthening with a graft contribute to the narrowing of the tip because it helps the skin stretch? Thanks

Doctor Answers 8

Does Lengthening the Tip with a Graft Contribute to Producing a Narrower Tip?

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 An ear cartilage graft to the nasal tip can both add length to the nose as well as narrow the nasal tip.

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

Refining the Nasal Tip

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Typically yes - by increasing tip projection, perhaps through the use of a columellar strut, there is usually a refining of the nasal tip, as well as narrowing of the nostrils a bit because they are now less rounded and now more elongated.

Jeffrey Epstein, MD, FACS
Miami Facial Plastic Surgeon
4.7 out of 5 stars 145 reviews

Revision rhinoplasty

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 Before embarking on a revision to your nose it is best to wait at least a year prior to thinking about revision rhinoplasty.   There are multiple different to types of cartilage grafts that can be placed  in the tip to  give more projection. In addition narrowing the nose we'll also give the illusion of more projection. Without any pictures it very difficult to give any real good advice

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Tip grafts and nasal appearance

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There are a number of techniques that can be used to re-lengthen your nose.  They all require some form of additional cartilage for structure and support.  A tip graft is often one of the suggestions, since it can add length.  However other means such as elongated spreader grafts or septal extension grafts are also usually required. These are issues to discuss and appreciate with your surgeon.

The specific influence of a tip graft depends on it's shape and it's intended use.  Your surgeon can shape it to provide more tip definition or less definition, more tip rotation or less, more tip projection.  But as others have already posted, it's only one technique.   Other factors like skin thickness, native tip cartilage definition and integrity, other tip grafts like a columellar strut, or even the type of grafted cartilage (septum vs ear vs rib) will all have an impact on your final tip definition.   Because of this communicate with your surgeon.


Kevin Robertson, MD
Madison Facial Plastic Surgeon
4.7 out of 5 stars 15 reviews

Lengthening the nose and narrowing the tip

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If a nose has been over shortened, one can add a tip graft to add length back to the nose. This does not necessarily make the tip look narrower, however a  tip graft can be placed to add definition and projection to the nasal tip, thereby creating a narrower tip. Skin thickness will also play a role as to how much narrowing one can get, as the skin has to shrink wrap to the new framework underneath. Thicker skin will not shrink wrap as much as thinner skin, therefore limiting how much narrowing one can get.

Ronald Caniglia, MD
Scottsdale Facial Plastic Surgeon

Lengthening the Nose and Narrowing the Tip

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Lengthening the nose does not necessarily narrow the tip; however, the tip could be narrowed to help achieve the results you are looking to achieve.  It is the underlying nasal tip anatomy not the skin that leads to a narrower tip.  Please consult with your surgeon or a board certified specialist who can assist you with the results you seek.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Lengthen Nose to Narrow Tip

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Lengthening the nose will help to narrow the tip because this typically requires a cartilage graft which will change the contour of the tip cartilage. The narrowing is not secondary to stretching the skin.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Lengthening the Nose

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Lengthening your nose may not significantly affect tip width unless you have a lot of excess skin. More specific tip-narrowing maneuvers may be necessary.

Roy A. David, MD
San Diego Facial Plastic Surgeon

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.