Short noses can also be caused by a low radix, leading to a lower nasal starting point at the root of the nose. As such, radix grafting will be used to raise the nose bridge and lengthen the nose. A typical procedure done during rhinoplasty surgery is removing a dorsal hump or bump from the bridge.
It is also wise to note that if the upturned nose caused by previous surgery, the existing scar will need to be released to allow movement of the tip in a less rotated position. If the patient has done a similar surgery prior, it is advisable to allow a balance for the revision surgery.
This will enable the post-operative tissue swelling to settle down and nasal skin to relax instead of the shrinkage of the nasal skin – making it difficult to stretch over a newly constructed internal nasal framework. Additionally, several cartilage grafting techniques can be used to create a proper internal nasal structure, allowing a rhinoplasty surgeon to counter-rotate the nose to maintain its shape.