Fig. 8.

Case 6—to lengthen short nose. A, Profile view of a healthy 19-year-old woman who wished to lengthen the nose. As this was considered to be a difficult surgical procedure, the author decided to try to improve the length by HA injection. She had no relevant medical or surgical history. B, Improvement in nasal length after 2 years and 2 injections of Restylane Perlane (total volume injected: 1.5 mL). The HA was deposited intradermally with a sharp 27-G needle in the distal end of the tip in the columella (0.7 mL), along the alar rims (0.2 mL) and in the nasion (0.1 mL), and subcutaneously in the nasion along the dorsum with a 25-G cannula (0.5 mL). Even after 5 years, the author has noted that the length of the patient’s nose was still maintained (image not provided).