How is an overly long nose fixed with rhinoplasty?
A nose can look overly long when it is associated with a droopy, under-rotated tip; when the columella is too long or a combination of both. These forms of a long nose can be treated with rhinoplasty. A nose can also appear long when the entire mid-facial bony structure is long and this cannot be dealt with utilizing rhinoplasty alone. A bony shortening of the mid-face would also be required. For a long nose associated with under-rotation or a hanging columella, rhinoplasty can be used to rotate and shorten the nose and/or tuck up the columella. We utilize cartilage grafts and sutures to achieve these goals.
Posted by Dr. Buckingham