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The tip can be refined and elevated. The caudal septum may need a bit of adjustment as well. Kenneth Hughes, MDLos Angeles, CA
I assume by cartilage you mean the lower lateral cartilages of the nasal tip, since technically the septum is cartilage as well. The answer to your question is that it could be either or both, depending on what the nose feels like and looks like once you open it up during surgery. Sometimes you can get an idea preoperatively based on how firm it is, given that septal cartilage is more firm than tip cartilage usually. That said any competent surgeon would be able to correct the issue regardless of the cause.
Rhinoplasty procedure can address the drooping tip by lifting and narrowing the tip with suture techniques to the lower lateral cartilages. The dorsal hump can be shaved down and osteotomies will then be required to narrow the nasal bones. The caudal septum can also be trimmed back which is too long. For many examples, please see the link below to our rhinoplasty photo gallery
The rhinoplasty procedure usually involves osteotomies to the nasal bones which can leave the nose tender to pressure for the first month or 2 after the procedure. The chin is also tender from placement of the implant for the first month or 2 as well. It should be acceptable to put your mask on,...
Hi Anne- In these pictures you have a classic tension nose, as seen at the upper lip and bridge fullness. The best thing to do is reduce the septal fullness at the bridge, and shorten the nose at the lip. Tip defining can be performed as well as bony improvements.
The rhinoplasty will cost the same whether the septoplasty is performed or not. Rhinoplasty would provide benefit to shaping the nose and refining it to provide balance.Kenneth Hughes, MDLos Angeles, CA