In cases addressing a long nose, the term "length" is used in different contexts. While some records describe the nasal tip gradually appearing longer and drooping after prior surgery, other records explain how supporting the nasal tip adjusted an elongated appearance. It is helpful to distinguish between the impression of length in photographs and the changes in nasal tip position described in the text.
This list includes revision cases where a long nose was accompanied by lingering deviation or a bulbous tip, as well as cases where nasal tip drooping and nasal obstruction developed over time. Follow the text to compare whether the nasal bridge was lowered, the nasal tip was supported, and how the proportions of the columella and face were addressed. Even with the shared concern of a long nose, each surgical approach varied.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a case of septal cartilage deficit, nasal bone asymmetry, and nasal obstruction remaining after two surgeries. Through a closed approach, autologous rib cartilage was used for septal reconstruction, along with nasolabial angle correction, nasal bone asymmetry correction, and radix adjustment.
Preoperative condition
Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.
Preoperative condition
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Preoperative condition · Postoperative record
A revision rhinoplasty case where the septum was depleted due to excessive cartilage use in prior surgeries. The septum was reconstructed using autologous rib cartilage, a cartilage fragment on the bridge was removed, and silicone implant replacement was combined with osteotomy.
Preoperative condition
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Preoperative condition · Postoperative record
Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.
Preoperative condition · Postoperative record
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Preoperative condition · Postoperative record
A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.
Preoperative condition
A dorsal hump and drooping tip were smoothly refined through a closed approach using autologous rib cartilage tip plasty, hump reduction, lateral osteotomy, and nasolabial angle correction.
Preoperative condition
To correct the residual deviated nasal bone, dorsal hump, and nasal obstruction remaining after a previous silicone rhinoplasty, the existing implant was removed and lateral osteotomy, autologous rib cartilage tip plasty, and septoplasty were performed.
Preoperative condition · Postoperative record
A case addressing a drooping, elongated nasal tip after silicone rhinoplasty and nasal filler procedures. The existing implant and residual filler were removed, the support structure was reinforced using autologous rib cartilage, and the nasolabial angle was corrected.
Preoperative condition
Silicone implant deviation, excessive nostril show, and a high radix were corrected by removing the previous implant, reconstructing the nasal tip with autologous rib cartilage, placing a customized implant, and adjusting the nasolabial angle.
Preoperative condition
A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.
Preoperative condition · Postoperative record
After two prior surgeries, a septum collapsed to the right, a depressed alar wing, and a mucosal defect were corrected through autologous rib cartilage septal reconstruction, perichondrium grafting, and re-carving of the silicone implant.
Preoperative condition · Postoperative record
For a drooping, bulbous nasal tip, asymmetric nasal bridge, deviated septum, and rhinitis symptoms, we performed nasal tip correction using autologous rib cartilage, nasolabial angle adjustment, silicone implant replacement, septoplasty, and inferior turbinate reduction.
Preoperative condition
In a case where residual artificial dermis from a previous procedure formed a dorsal hump and weakened the septal support, the artificial dermis was dissected and removed, lateral osteotomy and dorsal hump reduction were performed, the nasal tip was reconstructed using autologous rib cartilage, and the silicone implant was replaced.
Preoperative condition
A case involving an implant from 17 years ago, residual filler, and a long, drooping nasal tip. Calcified autologous rib cartilage was harvested to correct the nasolabial angle and lower the radix starting point.
Preoperative condition · Postoperative record
To improve an elongated-looking nose, nostril asymmetry, and a deviated columella, we performed autologous rib cartilage septal extension, septal reconstruction, and alar base width correction together.
Preoperative condition · Postoperative record
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Reading them that way can cause you to miss the actual details of surgery. One original post explains that supporting the nasal tip with autologous rib cartilage visually reduced the impression of an overly long nose. Because a change in the perception of length differs from physically resecting tissue, check the specific surgical details rather than assuming the method based solely on the impression of before-and-after photos.
Yes. There are records where, over time after surgery using a silicone implant and septal cartilage, the nasal tip appeared longer and drooped, accompanied by nasal obstruction. Another article covers a case where concerns regarding a long nose, deviation, and a bulbous tip remained after prior filler and ear cartilage procedures. You can compare changes over time alongside accompanying concerns.
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