Lengthening the Short Nose

Chapter 26. Lengthening the Short Nose

Images Indications: The short nose can be a challenging problem to fix (Figure 26-1). As mentioned in previous sections, manipulation of the radix may aid in changing nasal length. A shallow radix can be deepened, which will move the nasion superiorly and therefore, increase nasal length. Additionally, if the superior dorsum of the nose is low, a graft will also cause the nasion to move superiorly and increase nasal length. If the tip is over-rotated, decreasing tip rotation will increase the length of the nose. However, when the nasion is normal or in cases of a severely short nose, additional procedures are necessary.


Figure 26-1. A. Lateral view of patient with short nose and decreased tip projection. B. Postoperative view of patient after nasal lengthening with anterior septal extension grafts and a columellar strut graft.

Images Markings: No markings are necessary, but careful analysis and treatment planning is necessary to achieve an optimal result.

Images Approach: A graduated approach to nasal lengthening is recommended. Because the soft tissue will need to allow the tip to rotate in an inferior direction, wide skin undermining is performed.

Images Technique

Feb 18, 2017 | Posted by in Aesthetic plastic surgery | Comments Off on Lengthening the Short Nose
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