Short Nose Correction

elevating your face 
and enhancing 
your features

Short Nose Correction

elevating your face and enhancing your features

The short nose can affect the tip, causing it to be up-turned and exposing the nostrils excessively.


The short nose is one of the more challenging conditions to rectify in Asian rhinoplasty. 

What is a considered a short nose?

A short nose would have a nose-lip angle of more than 110 degrees. 

The ideal nose would have a height to length ratio of 0.67:1.0. In a short nose, the length would be less than 1.0. (A<1.0)
In the ideal face, the face is divided into horizontal 1/3s. A short nose would have dimensions less than the ideal 1/3 of the face, causing excessive nostril show on frontal view. (yellow line)

The proportions of the brow-nose distance on profile view is less than the ideal 1:1:1 ratio.

Skin and capsular contracture after implant rhinoplasty can lead to short contracted noses. These are notoriously difficult to correct.

Who is a candidate for short-nose correction?
  • Patients with a face that is not proportional due to a short nose
  • Patients with a short or upturned nose and visible nostrils
  • Patients with a short nose creating a flat appearance
  • Capsular contractures due to nose implant complications
  • Revision Rhinoplasty

Skin and capsular contracture after implant rhinoplasty can lead to short contracted noses. These are notoriously difficult to correct.

Who is a candidate for short-nose correction?
  • Patients with a face that is not proportional due to a short nose
  • Patients with a short or upturned nose and visible nostrils
  • Patients with a short nose creating a flat appearance
  • Capsular contractures due to nose implant complications
  • Revision Rhinoplasty

HOW IS SHORT NOSE CORRECTION DONE ?

Simplified steps to explain the science behind the art of Plastic Surgery
The nasal tip is upturned due to a very mildly short nose. A camouflage procedure can be done to create the illusion of a longer nose.

Fascia graft can be placed at the forehead area (labella) and cartilage grafts can be placed on the tip (tip grafts) to increase the tip length and also to rotate the tip downwards. This creates the illusion that the nose is long and the tip is not tilted up without the need for structural work.
The nose is lengthened with the use of septal extension grafts (cartilage taken from the septum; does not need extra scars). Using suture techniques and the tripod concept would enable the new structure of the tip to be stable and prevents recurrence of the short nose in the future. 

Septal extension grafts in comparison to extended spreader grafts will create a nose that is more supple and less stiff and rigid. More patients prefer this so that they can move their nose naturally.
De-rotation of the alar cartilage and release of the cartilage from the pyriform aperture will enable the tips of the nose to be advanced without tension so that it does not cause a recurrence in the long term.

In most cases both septal extension grafts and de-rotation of the cartilages are required to create a stable nose that does not relapse.

Getting Short Nose Correction Right

01

Consideration of ideal ratios before surgery

There is a need to balance the extent to which the natural tissues can extend with the ideal ratios we want to achieve. In most primary cases, appropriate use of the cartilage will enable the extension of the nose. In revision cases, due to the scarring there could be a restriction of the tissue and additional tissue may be needed to achieve the extension.

02

Appropriate use of cartilage grafts

The nose extension can be done with onlay grafts but there is a limit as the grafts may weigh down on the tip causing a droopy tip. Structural reinforcement with cartilage graft is necessary to create a firm structure to prevent recurrence or droop of the nasal tip. This ensures a stable nose that can last permanently.

03

Consider the Stability of the Nose

Minimum cartilage extraction with stability of the nose in mind is balanced with economical and maximised use of the septal cartilage to provide sufficient extension of the nose.

Hospitalisation

Day Surgery

Anaesthesia

 Local Anaesthesia or IV Sedation

Operation Time

60-120 minutes

Removal of Sutures

5 Days

Getting Short Nose Correction Right

01

Consideration of ideal ratios before surgery

There is a need to balance the extent to which the natural tissues can extend with the ideal ratios we want to achieve. In most primary cases, appropriate use of the cartilage will enable the extension of the nose. In revision cases, due to the scarring there could be a restriction of the tissue and additional tissue may be needed to achieve the extension.

02

Appropriate use of cartilage grafts

The nose extension can be done with onlay grafts but there is a limit as the grafts may weigh down on the tip causing a droopy tip. Structural reinforcement with cartilage graft is necessary to create a firm structure to prevent recurrence or droop of the nasal tip. This ensures a stable nose that can last permanently.

03

Consider the Stability of the Nose

Minimum cartilage extraction with stability of the nose in mind is balanced with economical and maximised use of the septal cartilage to provide sufficient extension of the nose.

Hospitalisation

Day Surgery

Anaesthesia

 Local Anaesthesia or IV Sedation

Operation Time

60-120 minutes

Removal of Sutures

5 Days

RELATED PROCEDURES

TIP-PLASTY

ALAR-PLASTY

DORSAL AUGMENTATION 

EYES

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