My bridge was lowered and my tip was rotated “up” from the original position. I’m about 6 months post op and I’m really disliking how my nose angles down when I smile still. My depressor septi was cut during surgery, so that isn’t the cause. Is this due to my facial anatomy/cheek muscles, or is this something that can be fixed? I just want my tip to stay straight when I smile. I’d prefer if it didn’t move at all to be honest.
January 20, 2025
Answer: You may require additional tip support with cartilage grafting. Some people require more tip support than others, when dealing with the correction of a droopy nasal tip appearance with rhinoplasty surgery. We utilize columella strut grafts, which is like a Matchstick size piece of cartilage, to be implanted in somebody's nasal tip to add structural support. Severance of the depressor septi muscle may not completely adequate, and we do not implement this in any of our patients. The best advice I could give is to visit a reputable rhinoplasty specialist for an opinion about your situation. Thank you for this question. Sincerely, Dr Joseph
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January 20, 2025
Answer: You may require additional tip support with cartilage grafting. Some people require more tip support than others, when dealing with the correction of a droopy nasal tip appearance with rhinoplasty surgery. We utilize columella strut grafts, which is like a Matchstick size piece of cartilage, to be implanted in somebody's nasal tip to add structural support. Severance of the depressor septi muscle may not completely adequate, and we do not implement this in any of our patients. The best advice I could give is to visit a reputable rhinoplasty specialist for an opinion about your situation. Thank you for this question. Sincerely, Dr Joseph
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January 19, 2025
Answer: Drooping Tip Post Rhinoplasty - What Can Fix It? I have studied your photos and not only do you have inadequate tip projection, but upon smiling the nose takes on a convexity and points downward, which is the opposite of what one would like to see in a postoperative result. In my practice, one of my first and foremost goals is to create excellent tip projection and definition, particularly upon smiling. In my experience, cutting the nasal depressor muscles is not effective. To explain the overall anatomy and goals: the nasal bridge should begin opposite the blink crease of the eyes, and end right before the tip begins -- or in other terms, in the "pre-tip" area. The tip should stand up alone with beautiful projection (at approximately 92 degrees from the upper lip). The tip should be detailed but not skeletonized . Upon smiling, it should not become downturned. This can be accomplished by inserting a columellar strut, or a septal-extension graft, which therefore guarantees tip projection in repose and during smiling. Thank you for your inquiry, and I hope this helps you.
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January 19, 2025
Answer: Drooping Tip Post Rhinoplasty - What Can Fix It? I have studied your photos and not only do you have inadequate tip projection, but upon smiling the nose takes on a convexity and points downward, which is the opposite of what one would like to see in a postoperative result. In my practice, one of my first and foremost goals is to create excellent tip projection and definition, particularly upon smiling. In my experience, cutting the nasal depressor muscles is not effective. To explain the overall anatomy and goals: the nasal bridge should begin opposite the blink crease of the eyes, and end right before the tip begins -- or in other terms, in the "pre-tip" area. The tip should stand up alone with beautiful projection (at approximately 92 degrees from the upper lip). The tip should be detailed but not skeletonized . Upon smiling, it should not become downturned. This can be accomplished by inserting a columellar strut, or a septal-extension graft, which therefore guarantees tip projection in repose and during smiling. Thank you for your inquiry, and I hope this helps you.
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