Lengthening The Short Nose

Authors: Henry D. Sandel IV, M.D., and Stephen W. Perkins, M.D.

The short nose can be a challenging problem. It can present in the primary rhinoplasty patient, especially in those with congenital facial malformations. More commonly, however, it is a complication seen in patients who have undergone previous nasal surgery. These patients generally have problems related to either the failure to correct or to identify a specific preoperative attribute or the aggressive resection of certain nasal structures. In either case, the mechanism involved in creating the short nose must be understood. The reconstruction will mainly focus on rebuilding of adequate tip-support structures of the nose.