Surgical Correction of the Short Nose

The primary emphasis of the operation to achieve maximum nasal lengthening is based on: (l) a release of soft tissue including the mucoperichondrium; (2) release of the soft tissue between the upper lateral cartilage and the lower lateral cartilage; and (3) attachment of a batten graft to the septum to project the tip cartilages caudally. Case examples of the results of the open approach are given. In those cases in which the closed technique must be used, a modified technique is utilized. This involves a hemitransfixion incision and elevation of the mucoperichondrium bilaterally, followed by a batten graft.