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2026-05-18

Nose Lengthening Surgery

This post discusses nose lengthening surgery, a less common procedure often requested for physiognomic reasons to make the nose appear longer and conceal nostrils.

Nose Lengthening Surgery

It's been a while since my last post about nose surgery.

Occasionally, when performing surgery, there are individuals who desire a slightly different look than what is typically preferred.

Even with eye surgery, most people prefer an ‘in-out’ shape, but some want a ‘monolid’ look, while others desire a high ‘out-fold’ line.

Sometimes, an ‘out-fold’ can result in a thick, ‘sausage-like’ appearance, so it's not recommended. Similarly, for nose surgery, if the nose is too short or too long, it's generally not recommended.

However, some individuals request a longer-looking nose to conceal their nostrils, believing it brings good fortune according to physiognomy.

Most often, men undergo this procedure, but occasionally women do as well.

Typically, the nasal tip is raised more often, as shown here.

Alternatively, men sometimes opt for a longer appearance, as seen below.

This patient, despite already having a somewhat long nose, desired it to be even longer.

We lengthened it further as they believed it would improve their physiognomy.

This is the photo the patient brought in at the time; the nose appears quite long.

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Frequently Asked Questions

Who typically gets nose lengthening surgery?

Mainly men choose this surgery, though occasionally women also undergo it. It is a surgery for those who desire a longer nose, believing that a longer nose, where the nostrils are not visible from the front, brings good fortune according to physiognomy.

Is nose lengthening not recommended if the nose is already too long or too short?

No, it is generally not recommended. Most nose surgeries prefer a balanced shape that is neither too short nor too long, so extreme lengths are not advisable.

How is nose lengthening performed?

The method of lowering the nasal tip to make the nose appear longer is frequently used. In the published case, the surgery involved adjusting the nasal tip to extend the nose's line so that the nostrils are not easily visible from the front.

Can I make my nose even longer if it's already long?

Yes, it is possible. Among the cases introduced in the post, there was a patient whose nose already appeared slightly long but wished for further lengthening for physiognomic reasons, and it was extended accordingly.

Why do people lengthen their noses for physiognomic reasons?

It is believed that a longer nose, to the extent that the nostrils are not visible from the front, brings good fortune. Considering this physiognomic meaning, some people intentionally correct their noses to appear longer.

Can I bring reference photos before surgery?

Yes, you can. In the published case, the patient brought reference photos of their desired nose shape, and the surgery was performed based on these to match the desired length.

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