A long nose typically means that the tip of the nose extends a bit further down than usual, or projects outward, making the nose look like an arrow.
This feature can make the face look aged or unfavorable. In particular, a long nose can droop when pronouncing specific sounds (Oo, Ou, etc.) or when making certain facial expressions elongating the midface. Long nose correction surgery makes the nose look shorter by raising the tip, and ideal in any facial expression.
Surgery Duration
Approx. 40-60 min
Hospitalization
No
Stitches Removal
After 7 Days
Anesthesia
Local and Sedation
Recovery Period
7 Days
Recommended When
- The tip droops like an arrow.
- The nose contour is not smooth enough from the side view.
- The nose is long in proportion to the length of the face, making the appearance aged.
- The muscle on the tip is overly developed.
The ideal nose characteristics
Slightly curved and upward tip, not showing the nostrils too much, giving a feminine and sophisticated expression.
The ideal male nose and the ideal female nose are quite different. CDU is always careful to evaluate the ideal length and angle, considering gender and overall facial shape. An ideal female nasal tip has a slight upward rotation overall.
Generally, when it comes to the ideal nose, the length is â…“ of the face and the degree of the columella-labial angle is 95-105. When the angle is less than 110 degrees, the nose appears masculine and long.
Surgery Methods
1. Resection of the alar cartilage
When the tip droops due to a considerably bigger size of the alar cartilage, the head of the alar cartilage is removed and the alar cartilage can be rearranged. The tip becomes naturally shorter and higher.
2. Reinforcement of the alar cartilage
When the alar cartilage itself droops down, by adding a supporting strut on the columella (strut graft) or using an alar cartilage sculpting technique, the tip can be raised and the nose becomes naturally shorter.
3. Resection or paralyzation of the muscle bringing down the tip
When the tip droops and the nose becomes longer in specific facial expressions or when pronouncing certain sounds, the muscle bringing down the tip (depressor septi nasi muscle) can be resected or paralyzed.
4. Resection of septal cartilage
If the tip faces down or is too projected, by removing part of the septal cartilage, the tip can be moved a little closer to the face, making the length more ideal.
5. Hanging columella correction
If the tip faces down or is too projected, by removing part of the septal cartilage, the tip can be moved a little closer to the face, making the length more ideal.
Q&A About Long Nose Correction
A hanging columella can occur naturally, or can sometimes occur after rhinoplasty, including columella strut, caudal extension graft, or shield graft, etc. Furthermore, the columella is sometimes more visible due to alar retraction or nostril retraction.