Farzad R Nahai, MD

Good question. It definitely depends on how big your hump is and the quality of the tip of your nose before surgery. Strictly speaking, downsizing a hump alone will not make your tip droop more or lift it for that matter. What can happen is that the relationship between the upper two thirds (the dorsum) of your nose and lower third (the tip) will change such that after the removal of a hump the tip can 'look' more droopy because it is no longer adjacent to a dominating big hump.  

If your surgeon is recommending tip support or tip changes after hump reduction I would tend to trust that recommendation. Something that can help is if you print out a large (almost life size) photo of yourself from the side showing your dorsal hump, then take a pencil and gradually sketch away the hump. Do this until you are satisfied with the appearance then look at the tip. If it looks OK that may be all that needs to be done, if it looks 'droopy' or 'ski slopeish' the tip work may be warranted. I hope that helps.