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Do I Have a Drooping Tip / Columella?

asked 1 year ago by russ306 in Arkansas
Latest answer by Thomas Buonassisi, MD
Question viewed 1,031 times
Tags: male, droopy, columella, tip

I had a septo/rhinoplasty about 8 weeks ago. I have thick oily skin so I think there is still quite a bit of swelling. My concern is that the tip appears to be drooping and the columella seems to be hanging to low. I am currently out of the country so I can't see my surgeon until I get back in April. Is it possible that my concerns are just do to swelling? thanks

15 answers to Do I Have a Drooping Tip / Columella?

Drooping Tip/Columella

Swelling at 8 weeks will distort appreciation of the final result. Wait to see your surgeon in April. You would not change anything at this time even if he/she was available.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty Healing Is An Evolving Process

While it is still early as rhinoplasty healing goes, one does get a hint as to the shape of the nose that is evolving after several months. It does appear that you do have some tip ptosis and a hanging columella but that may get better to some degree in the next 6 months. What you don't want to do in consideration of revisional surgery is chase a 'moving target'. Give the nose a full 6 months after surgery and then go back and talk to your plastic surgeon. Make a mental... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

Tip Ptosis Post Rhinoplasty

Based on your photo it does appear that your tip is tilted downward. I think your columella on this view looks fairly normal. Don't worry about it too much at this point. This may resolve once your swelling settles. Regardless speak your surgeon and arrange a follow up. If you do require a small revision it is not recomended until a year has passed.

Thomas Buonassisi, MD
Vancouver Facial Plastic Surgeon

www.8west.ca

Drooping nasal tip.

Although it is an angled view of your nose ,it appears that you have tip ptosis but not hanging columella. Give a few months for the swelling to improve and then approach your surgeon.

Erel Laufer, M.D.
Tampa Plastic Surgeon

Postoperative tip ptosis after rhinoplasty

At this time, it is still too early to tell if your tip has dropped any. It is likely during the healing process there will be some dropping of the tip when the swelling settles, it may also go up some as the swelling goes down as well. Over the next several months you should have a better idea of the tip position.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Rhinoplasty 8 weeks out

8 weeks is too soon to tell what your final nasal shape will be. It will take a few months before you will see the final result, so I would advise you to be patient. Regardless, you would not be a candidate for revision until about 1 year after your surgery. You should definitely talk to your rhinoplasty surgeon when you are able to see him/her. I'm sure he or she will be happy to discuss with you any questions you may have. Dr. Cat Begovic M.D.

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Drooping tip and columella 8 weeks after rhinoplasty.

Drooping tip and columella 8 weeks after rhinoplasty is likely. There is nothing to do now and it may be fine in 6-12 months when the swelling is gone.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Patience is it's Own Reward (Even with Rhinoplasty Ptotic Tips and Hanging Columellas)

Hi Russ, There is nothing that you can do at this time other than be patient and let your nose heal completely. If you are dissatisfied with your nose appearance 12 months after your original rhinoplasty, then at that time address your concerns with your rhinoplasty surgeon. Hope that your nose heals to your liking. Good luck and be well. Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Ptotic tip

Dear Russ: *wks from surgery may be a long time for you, but for rhinoplasty is really almost no time. The appearance of the nose will change in the next 6 to 12 months depending on how thick your skin is, and the last changes will happen at the tip. My advise is to allow the swelling to resolve and then re-asses. Any opinions at this point may no longer hold true in 3 months. Patience is your best option. Dr Siegel

Michel Siegel, MD
Houston Facial Plastic Surgeon

houstonfaces.com

Give a rhinoplasty time

Your photograph is at an angle that would make the tip or columella seem low, so I wouldn't worry too much. A physical exam would be able to determine if you do have tip ptosis, but it's way too early to be worrying about such things. The nose changes significantly over the first year or two, especially in patients with thick skin such as yourself. Be patient, and discuss this with your surgeon when you get back in the States. Andrew C. Campbell, M.D. Board Certified... more

Andrew Campbell, MD
Milwaukee Facial Plastic Surgeon

Post - op Rhinoplasty 2 months.

Hi Russ, It appears that you may have some tip ptosis. This maybe due to swelling or may not. Give a a full 6 to 12 months for the final results to decide. At that point you can reevaluate your tip. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Droopy Tip after Rhinoplasty

A close-up before and after profile photo would be very helpful. That being said, after 8 weeks there is still too much swelling in the tip and columella to draw any conclusions. June would be a good time to compare your tip and columella to your before photographs.

Daniel Reichner, MD
Newport Beach Plastic Surgeon

Do I Have a Drooping Tip / Columella?

Thanks for the posted photo. Yes you do! See the surgeon to discuss. From MIAMI Dr. Darryl j. Blinski

Darryl J. Blinski, MD
Miami Plastic Surgeon

Drooping tip

The photo you posted is at a stranger angle and hard to see well, but it is possibly a low tip and there is probably swelling. An exam would be more precise.

Steven Wallach, MD
Manhattan Plastic Surgeon

Recovery from Rhinoplasty

Without more pictures (from many angles) or seeing you in person and having the pre-op pictures to compare, it is impossible to comment on your results. However, this recent after surgery, it is too early to get worried. Swelling after rhinoplasty is common and may take several months to see the final result. When you are back from your trip, you should see your surgeon to discuss your results. Good Luck.