fig5
![The excessively short nose: our systematic approach](https://image.oaes.cc/bafe9b5c-279b-41ec-82b5-881f8ab9a7e0/par4017.fig.5.jpg)
Figure 5. This patient, who had a prior rhinoplasty, presented with a number of external and internal manifestations of a short nose. A side-to-side septal extension graft was used as a primary means to lengthen the nose. The additional use of a left spreader graft and alar repositioning were also necessary.