Short nose. Can I get a rhinoplasty to prolong my nose? (Photo)

You definitely need rib cartilage to lengthen the nose and increase tip projection. There is no way in hell that you can use extra skin from the nose "to bring down the sides of the nose without using cartilage material". I would run away from this surgeon immediately. I recommend seeing an American Board of Plastic Surgery certified plastic surgeon with extensive rhinoplasty experience / practice.

Hi from Istanbul, thanks for your question. It is possible to lengthen the nose with extension grafts. By adding cartilage to the tip of the septum and releasing the nasal tip cartilages, we can effectively address the shortness of the nose. In my practice, I primarily use rib cartilage for augmentation. The specific roadmap can be determined with a personal consultation. Hope this helps, best of luck!

In the hands of an experienced Asian rhinoplasty surgeon, rib cartilage remains the best graft material in terms of permanence and aesthetics to create projection, augmentation and lengthening. Your nasal framework consists of cartilage, and cartilage from the rib can be used to supplement and reinforce this to change the shape, length and height of the nose.

Ear cartilage for the alar margins is not necessary as properly performed rhinoplasty with rib cartilage will achieve this in a far more elegant manner. It sounds as though the surgeon may be referring to composite grafts from the ear, but this presents an aesthetically inferior option to integrated alar rim grafts.

Any surgeon who recommends ear cartilage for your nose is not a rhinoplasty expert. You'll need rib cartilage, without exception.

Septal extension graft is a piece of septal cartilage that is taken from the back of your septum and sewn to the front of your septum to make your nose longer. You would need to find somebody who is familiar and facile with this surgical technique in rhinoplasty, and I believe you should have a favorable result. Thank you for your question. Sincerely, Dr Joseph

These are very common concerns in asian rhinoplasty. Common concerns include addressing a low bridge, de-rotating an upturned tip, and increasing nasal projection. Often, my preferred approach for these cases is to use rib cartilage, as many asian patients have small/very week septal cartilage that is not large enough or strong enough to accomplish the things mentioned above. Using either cadaver rib or your own rib can allow for augmentation of the dorsum, if that is desired, de-rotating the tip, and increasing tip projection.
Sean Fisher Aesthetic Plastic Surgeon