This article discusses the diagnosis and treatment of the short nose. Emphasis is placed on examining the short nose and on determining what particular features constitute an absolutely short nose versus an apparently short nose. The primary emphasis of the operation to achieve maximum lengthening is based on (1) release of the soft tissue including the mucoperichondrium, which has to be elevated bilaterally from the septum; (2) release of the soft tissue between the upper lateral cartilage and the lower lateral cartilage; and (3) attachment of a batten graft to the septum to project the tip cartilages caudally and to obtain a full centimeter of length. The closed technique (which prevents adequate soft-tissue release of the mucoperichondrium of the septum) uses a hemitransfixion incision and elevation of the mucoperichondrium bilaterally followed by attachment of a batten graft. Treatment for the apparently short nose, which involves derotating the tip, correcting the columellar labial angle, and altering the location of the nasion as well as the slope (nasofacial angle), also is discussed.