Tip Rotation

Oleh Slupchynskyj, MD answers: Does the nose tip go down years after surgery?

I'm getting my nose done. Everyone says I should have it a little more curved than I want because the tips goes down. My doctor said the swelling makes it higher and the patient gets used to it being higher so they think the tip lowers, but others say it does go down even years after the surgery. Which is true? Should I get it more curved?

Oleh Slupchynskyj, MD
4 months ago

Hi Antoinette,

Tip curvature is also known as rotation. Tip rotation is governed by many factors after surgery. Rotation may be exaggerated from swelling initially but settles down in a week or two after surgery.

I don't believe it is a good idea to over-rotate your nose, you may end up with a pug nose. Its probably better to have an under-rotated nose than an over-rotated nose.

Best,

Dr. S.

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A: Noses both change and age with time

Steven J. Pearlman, MD
4 months ago

Most of the healing after rhinoplasty occurs during the first year. There are subtle changes that occur over the next few years. However, the nose also ages. Like all parts of the body, as we age, the nose will droop. Ligaments stretch and skin sags.

In rhinoplasty we perform surgical maneuvers in anticipation of what the nose should look like approximately one year from surgery. So, I suggest you find a rhinoplasty expert and let them plan surgery as they see fit for your nose.

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A: Rhinoplasty tip

Steven Wallach, MD
4 months ago

 The tip should stay relatively the same after the rhinoplasty has settled down. I would not want the surgeon to over correct it with the thought that is will come down some more. You may wait a lifetime for that!

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