My nose bothers me all of the time. From a profile view, it looks like it has been pushed down. I am not sure if this is what is called underprojected or not. I know that rhinoplasty can decrease the size of a big nose, but can it lengthen it as well?
You may have what is considered an “underprojected”, nose, where the tip (bottom 1/3) does not extend enough to be in balance with the rest of the nose and face. This may also be associated with a “pollybeak deformity”, where there is too much fullness right above the tip.
Yes, we can lengthen the nose by placing grafts either along the top part of the nose or at the tip of the nose, or both. The location and length of the grafts depends on the amount of lengthening you need. The grafts are usually made from your septal cartilage, but could also come from your ear or rib cartilage, for this revision nose surgery (“revision nosejob”) depending on what was left by the previous surgeon.