Can A Long Midface Be Reduced?

Q: Dr. Eppley, Hello there doctor, is it possible to solve a case where the nose length is too long, creating a long appearance to the midface despite an ideal philtrum length? I have seen a couple of results that appear to have caused this apparent reduction using a technique called the quadrangular lefort 1, but I’m curious as to what your thoughts are.

A:In using the term nasal length you may be referring to the reduction of nasal projection. An increase in tip projection can certainly occur from a LeFort I Advancement as the underlying septum has been pushed forward driving out the lower alar cartilages. There are a variety of standard techniques in rhinoplasty for achieving tip deprojection.

But if you are referring to actual midface shortening in the answer is going to be no. There are no available techniques that are effective for creating an external reduction and midface vertical length.

Dr. Barry Eppley

World-Renowned Plastic Surgeon