Some
noses can be shortened by only addressing the length of the septum. In the
image above left, I've shaded part of the septum light blue and the remainder of
the septum dark blue. The triangular portion of the septum shaded light blue will be excised during surgery. That's the portion of
the septum that was resisting the upward push of your finger when you pushed up
to shorten your nose.
After that piece of septum is removed, the septum
will be shorter. Note that the longer black arrow indicates the length of
the septum before the excision, and the shorter white arrow indicates the length
of the septum after removing the light blue piece. Because the septum is
now shorter, the tip of the nose rotates up (blue arrow), shortening the
nose.
Below we see the
full-face views of this patient.
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