Flexibility, tip drop and motion

Question

In my consultation, it was suggested the use of a suture between the septum and the columella to slightly correct the nasolabial angle. Using this technique, will the tip have similar flexibility as it had before surgery (moving up and down)? Is this the kind of surgery that the tip is expected to drop in the post surgery? Also, I’m worried that the tip become immovable, having no motion while talking or smiling, since this could make it look unnatural.

Randal Haworth, MD, FACS · Answer

The use of a suture between the septum and the columella to correct the nasolabial angle is a common technique used in rhinoplasty to refine the appearance of the nose. This technique can help improve the balance and harmony of the nose by adjusting the angle between the nose and upper lip.

In most cases, this technique should not significantly affect the flexibility or mobility of the nasal tip, and the tip should still be able to move up and down with normal facial expressions. However, it is possible that there may be some minor changes in the movement of the tip, depending on the specifics of your individual case.

It is important to discuss your concerns about tip movement and the potential for an unnatural appearance with your surgeon before undergoing the procedure. They can help you understand what to expect during the post-operative period and what steps can be taken to minimize the risk of complications.

In general, it is important to choose an experienced and qualified surgeon who has a deep understanding of nasal anatomy and the various surgical techniques used to correct nasal issues. They can help you achieve your desired results while minimizing the risk of complications and ensuring a natural-looking outcome.

Best of luck !

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.Rhinoplasty surgery wouldn't affect your face movements don't worry. 
Best regards!

Robert Ciardullo, MD · Answer

Correction of nasal tip droop: a typical way to elevate or upwardly rotate the nasal tip is to support the Columella onto the caudal septum with sutures using a procedure called tongue in groove. This is a very effective way of elevating a drooping tip. It will cause the tip to be less flexible after surgery. In many cases pressure on the tip of the nose prior to surgery will cause the tip of the nose to touch the upper lip. After supporting the tip columella complex onto the septum, pressure on the tip of the nose will not cause the tip to move downward toward the lip. This “stiffness“ is intentional and would be considered a success if it achieves a desirable nasolabial angle. When this technique is not used to support a very drooping tip, the tip may slowly droop back downwards after rhinoplasty in some patients. When the tip is supported on to the caudal septum it is less likely that recurrent droop will develop, but the tip will move a little bit when smiling. However it will be less flexible and less movable than before. But that is the intention of the procedure.

Flexibility, tip drop and motion

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