Lengthening the short nose

Abstract

Lengthening short nose is one of the most difficult rhinoplasty problems. Two suggestions are made. First, substantial release of soft tissues is mandatory to lengthen the short nose. Second, the technique espoused involves: (1) releasing the septal mucoperichondrium bilaterally, (2) releasing the septal upper from the lower lateral cartilage, and (3) using a baton graft attached to the septum, which in turn holds the tip cartilages in a more caudal position. Thirteen surgeries were performed with satisfactory results and few complications.