Short Nose Correction
The length of the nose is determined by the perceived distance from its starting point at the root of the nose between the eyes down to the tip-defining points. A short nose often involves an over-rotated, upturned tip that brings the tip-defining points closer to the nasal root. A short nose can also be caused by a low radix which leads to a lower nasal starting point at the root of the nose. Radix grafting can be used to raise the bridge in this area and lengthen the nose. One of the most common procedures done during rhinoplasty surgery is taking down a dorsal hump or bump from the bridge.
If the upturned nose is caused by a previous surgery then the existing scar needs to be released to allow for movement of the tip in a less rotated position. The best timing for revision surgery strikes a balance between allowing the post-operative tissue swelling to settle down and the nasal skin to relax versus not wanting to wait too long as the nasal skin will continue to shrink, which can make it more difficult to stretch it out over the newly reconstructed internal nasal framework.
There are several cartilage grafting techniques that can be used to create the proper internal nasal structure to allow a rhinoplasty surgeon to counter-rotate the nose and maintain it in this new position.