Rhinoplasty for the Long Nose

Dallas Plastic Surgeon, Dr Steve Byrd, defines the long nose in rhinoplasty and shows his method of correction.

Patients frequently complain that their nose is too long or too big. These terms may be misleading for nasal length to the rhinoplasty surgeon relates to the distance along the bridge down to the nasal tip (see analysis). It implies a distance greater than the stomion to menton length and a nasolabial angle less than 90 degrees.

Correction of a long nose involves rotating the tip complex back onto the septum and midvault structures. If lining and cartilage is removed, care must be taken to avoid over-resection that could create a short nose deformity. Careful analysis and planning is critical to these decisions.

I frequently use open rhinoplasty techniques to enable direct suturing and repositioning of structures thereby minimizing the irreversible need for resecting tissue.