http://www.youtube.com/watch?v=926hwC0zCWA
It is very difficult to make the nose look longer without any cartilage grafting.Cartilage grafting is usually necessary to improve a tip that is short, stubby, piggish and bulbous.Typically strut grafts and onlay graft must be placed to refine in length in the tip.
( Rhinoplasty is being done in Jubilee Christian Mission Hospital In Trivandrum, Kerala South India.)
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