Rhinoplasty for a Long Nose

People with an overly long or a droopy nose have had to endure a variety of descriptions for their noses, ranging from “aquiline,” to “Pinocchio,” to “parrot beak.” As colorful (and well meaning) as these descriptors might be, the truth is that such people may desire a nose that does not completely dominate their features. Furthermore, an overly long or droopy nose may cause functional problems with breathing. Dr. Vincent Marin recommends that these patients consider the benefits of a rhinoplasty (nose job) cosmetic procedure to reduce the length of the nose, bringing it into better alignment with the rest of the facial features.

Definition of an Overly Long Nose

A nose that is in proper proportion to the rest of the face is slightly turned up at the tip. The lower part of the nose creates an angle with the upper lip that is slightly more than 90 degrees. Patients with overly long noses may have a tip that droops, which will create an angle of less than 90 degrees between the nasal tip and the upper lip. In some cases, the nose may be so long that the tip actually curves over. An overly long nose can be the result of genetics or a traumatic injury to the nose.

Rhinoplasty Procedure

In a rhinoplasty procedure, tiny incisions are made on the inside of the nose. The skin is then lifted up. Bone and cartilage are removed or reshaped to achieve the desired look. The skin is then draped back over the nasal structure, and the incisions are closed up. Because the majority of the incisions are placed on the inside of the nose, they will be almost invisible.

When performing a rhinoplasty for an overly long nose, particularly with a tip that droops, it is important to shore up the cartilage at the nasal tip. This may involve harvesting cartilage from behind the ear, where it will not be noticeable. If the nasal tip is not properly supported, it may eventually droop again, requiring a second, corrective surgery.

Side Effects and Risks from Rhinoplasty

The two biggest side effects from rhinoplasty are bruising and swelling. The latter in particular may cause temporary difficulty in breathing. Dr. Marin suggests that patients keep their head elevated, use cold compresses, tape the nose, and take the herb Arnica montana to reduce the effects of bruising and swelling. These should begin to subside within one to two weeks following surgery.

Two of the biggest risks from rhinoplasty are infection and a change or loss of sensation of the nose, particularly at the tip. Dr. Marin prescribes antibiotics to his patients, which will cut down on the risk of infection if taken as directed. Fortunately, any change or loss of sensation for the nose is almost always temporary, usually subsiding within a few months after surgery.

An overly long nose can not only throw off the balance of facial features, but may also cause problems with breathing. Dr. Marin can help patients get a new nose that will perfectly fit their features. Contact Marin Aesthetics to schedule a rhinoplasty consultation.

About the Author:

Dr. Vince Marin is a San Diego board-certified plastic surgeon specializes in cosmetic surgery of the face, nose, breast and body. If you wish to contact Dr. Marin, write to [email protected] or you can follow him on Twitter!