Can rhino fix long philtrum?

bddcoper

bddcoper

36 mm pfl
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May 9, 2025
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Fine nose overall but somewhat short (short middle third at 30% of my face). Have a long philtrum ~19-20 mm (2.05 chin to phil ratio) and my lower third is 37% of my face.

Tldr its ideal if i keep my midface length constant. Is it possible/practical to lengthen my nose vertically given that I can knock those 3 flaws out in one go? Saw some stuff about a cartilage graft.

From the ratios it looks like a 3-4 mm lengthening of my nose would fix all those ratios without my nose looking too long
 
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Fine nose overall but somewhat short (short middle third at 30% of my face). Have a long philtrum ~19-20 mm (2.05 chin to phil ratio) and my lower third is 37% of my face.

Tldr its ideal if i keep my midface length constant. Is it possible/practical to lengthen my nose vertically given that I can knock those 3 flaws out in one go? Saw some stuff about a cartilage graft.

From the ratios it looks like a 3-4 mm lengthening of my nose would fix all those ratios without my nose looking too long
I feel you man, I’ve got same problem with the thirds, but you are kinda fucked with the philtrum,
as the only think you can do is get bimax (downgraft) but im pretty sure that you philtrum won’t change.

@Snicket what do you think
 
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I feel you man, I’ve got same problem with the thirds, but you are kinda fucked with the philtrum,
as the only think you can do is get bimax (downgraft) but im pretty sure that you philtrum won’t change.

@Snicket what do you think
Thanks I was thinking about genio/bimax since my chin is a bit weak but it would make my lower third comical in proportion to the rest of my face. My philtrum is also giga overprojected (80 degree nasolabial angle), so I'm not sure about bimax since if the angle were less acute my philtrum would be even longer? but only bsso could help overall

Btw the surgery i was referring to is called a cseg-based rhinoplasty if that makes any difference
 
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Is 19-20mm philtrum even that bad?

Nose lengthening is real, but it is very rare and you need to find the right surgeon.

Could you post ur front and side of ur lower third with nose to better understand your case.
Make sure there's no lens distortion
 
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