I had a rhinoplasty 18 months ago and I am happy with the results but I'm still concerned about the droopy tip which even though improved is still droopy. The tip is hanging a bit even in repose but definitely more when I smile. I don't want to have the muscle cut or altered -- is it complicated to fix it without affecting the muscle underneath? I really don't want to go through a major surgery but if there is an easy fix, I would go for it. Please help me with your professional opinion!
Answer: Fixing a Droopy Nasal Tip afer Primary Rhinoplasty
The slight "droopiness" of your nose is referred to as a "hanging columella". In your pictures, this appears to be caused by a slight elongation of the midline cartilage of the nasal septum. A simple fix for this would be to trim 2 mm or so of the elongated septum. This would be a very minor procedure.
If, in addition to this, it bothers you that the tip of your nose moves when you smile, to resolve this would require a releasing incision of the muscle at the base of the nose (the nasalis muscle) to reduce the muscle's function.
At any rate, be sure to visit an experienced revision rhinoplasty surgeon (or surgeons) for a face-to-face consultation to fully assess your options before proceeding with any further course of treatment.
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CONTACT NOW Answer: Fixing a Droopy Nasal Tip afer Primary Rhinoplasty
The slight "droopiness" of your nose is referred to as a "hanging columella". In your pictures, this appears to be caused by a slight elongation of the midline cartilage of the nasal septum. A simple fix for this would be to trim 2 mm or so of the elongated septum. This would be a very minor procedure.
If, in addition to this, it bothers you that the tip of your nose moves when you smile, to resolve this would require a releasing incision of the muscle at the base of the nose (the nasalis muscle) to reduce the muscle's function.
At any rate, be sure to visit an experienced revision rhinoplasty surgeon (or surgeons) for a face-to-face consultation to fully assess your options before proceeding with any further course of treatment.
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CONTACT NOW Answer: Droopy tip correction by secondary tip rhinoplasty.
Your profile photo shows that the angle between your columella and your upper lip, the nasolabial angle is less than 90 degrees. it sould be about 100. The procedure is relatively simple and it can be done under local anesthesia. The tip of the nose is lifted superiorly and fixated to the septum after removing some of the lower septum.
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CONTACT NOW Answer: Droopy tip correction by secondary tip rhinoplasty.
Your profile photo shows that the angle between your columella and your upper lip, the nasolabial angle is less than 90 degrees. it sould be about 100. The procedure is relatively simple and it can be done under local anesthesia. The tip of the nose is lifted superiorly and fixated to the septum after removing some of the lower septum.
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April 22, 2013
Answer: Revision rhinoplasty can be simple or complex depending on how much needs to be changed
From the posted photos, it seems that altering the tip angle might be achieved without complex surgery. However, it's important to get a personal exam to determine exactly what the cause is and therefore the best course of treatment. It might be as simple as shortening cartilage or resuspending structures. But if the support is missing it may be more involved to get a long lasting result.
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Answer: Revision rhinoplasty can be simple or complex depending on how much needs to be changed
From the posted photos, it seems that altering the tip angle might be achieved without complex surgery. However, it's important to get a personal exam to determine exactly what the cause is and therefore the best course of treatment. It might be as simple as shortening cartilage or resuspending structures. But if the support is missing it may be more involved to get a long lasting result.
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September 30, 2016
Answer: Droopy tip
At 18months it is appropriate to do, what you would need, a pretty simple revision. What you need the most is a strong strut in the columella and possible shortening of the caudal septum. A Facial Plastic Surgeon with plenty of experience in Rhinoplasty and Revision Rhinoplasty should be able to help your situation.
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Answer: Droopy tip
At 18months it is appropriate to do, what you would need, a pretty simple revision. What you need the most is a strong strut in the columella and possible shortening of the caudal septum. A Facial Plastic Surgeon with plenty of experience in Rhinoplasty and Revision Rhinoplasty should be able to help your situation.
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April 20, 2013
Answer: Rhinoplasty revision
Being 18 months out you should be able to have a revision if you want one. The limited view photos you posted however are of little help. It is impossible to tell if you have true asymmetry or your head is tilted. I think I may see an oblique deviation of the bridge to the left and on the side view it looks like the nostril rim is elevated more than the columella is hanging. The tip lies 90 degrees to lip so slight upward rotation would be helpful.
The best thing for you to do is see your original surgeon first to see what he/she says. Then take copies of your operative report and photos to a second surgeon for a second opinion. There is no shortage of competent nasal surgeons in New York. Then decide what you want to do.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
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Answer: Rhinoplasty revision
Being 18 months out you should be able to have a revision if you want one. The limited view photos you posted however are of little help. It is impossible to tell if you have true asymmetry or your head is tilted. I think I may see an oblique deviation of the bridge to the left and on the side view it looks like the nostril rim is elevated more than the columella is hanging. The tip lies 90 degrees to lip so slight upward rotation would be helpful.
The best thing for you to do is see your original surgeon first to see what he/she says. Then take copies of your operative report and photos to a second surgeon for a second opinion. There is no shortage of competent nasal surgeons in New York. Then decide what you want to do.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
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