When the tip of the nose is turned significantly, the tip can be pushed down with a technique called Counter-rotating. This procedure uses cartilage from your body to create additional support to lengthen the nose. Rib cartilage is an excellent source for this procedure in extreme cases. When the nose is lengthened, pushing the tip of the nose is much more achievable. This is a complicated procedure. Make sure to set up a consultation with any of our board-certified plastic surgeons for more information on this surgery!