My nose is too small for my face. I don’t think about it until I see my sister and the thought always crosses my mind that her nose is too small. Then I remember that I am in the same boat! We share a house so these thoughts come to mind all day long. Can rhinoplasty increase the size of a nose? Where does the extra nose tissue come from?
Rhinoplasty is about bringing balance to the nose and face. A nose that is too small can be as distracting as a nose that’s too big. Augmentative rhinoplasty, to make the nose larger or longer, is often encountered in revision rhinoplasty, after a previous poorly trained plastic surgeon has over aggressively reduced the nose. Asian & Latina patients also often need additions to certain parts of their noses such as the bridge height or tip length. Again, not all patients within the same ethnic heritage will have the same nose but there are some general principles that apply. Cartilage from the septum, ears or rib is the tissue of choice to add more structure to the nose. There are limitations especially with the skin so that it can stretch out over the larger foundation of the nose. While implants can also be used, they are a quick fix that should be avoided due to risks of infection, extrusion or displacement.