How should I correct my drooping tip / hanging columella (male)? (Photo)

Question

The tip of my nose dips, especially when I smile, and I would like to correct this. Please see the attached photos. In some of the photos, I've used my finger to show how I'd ideally like my nose to be shaped. Questions: 1. What would be the most effective procedure to correct this issue? 2. Are there any doctors who specialize in this procedure - preferably in NY but I'm willing to travel? 3. Obviously it varies between physicians, but what's a reasonable price range estimate? Thank you!

Deepak Raj Dugar, MD · Answer

Hello,Droopy tip (or Hook nose) is one of the most common reasons patient seek out Closed Scarless Rhinoplasty. This can be a concern when at rest or even worse when smiling. The key is to rotate the nose upwards and prevent the excess pulldown when smiling. We utilize multiple maneuvers to carefully rotate the tip of the nose to lift it to an elegant height and design without any telltale signs of surgery. A closed scarless rhinoplasty is the best surgery to fix this. By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

S. Larry Schlesinger, MD, FACS · Answer

Your nose is crowding your upper lip and there are muscles at the bottom of your nose which are pulling your nose downward when smiling.A small resection of the bottom of your nasal septal cartilage (caudal septum) with a slight angle upward in the distal 1/3 of your caudal septum will accomplish much of the look you desire.  If you were my patient, I would also add a tip graft to the tip of your nose to elevate it.  This would require minimal surgery and a relatively quick recovery.  New York has truly amazing rhinoplasty surgeons, therefore you should not have to travel far to find the plastic surgeon you are looking for.

Andrew Miller, MD · Answer

Usually the dip of the nasal tip is due to cartilage that is too long and unsupported, or simply an enlargement of the underside of the tip cartilage. During rhinoplasty, the tip can be lifted and excess cartilage can be trimmed to create the shape you want. There is also a small muscle that pulls the nose down when smiling and that can be reduced during the rhinoplasty. Be sure to consult with a rhinoplasty specialist when ready to undergo surgery.

Ali Sajjadian, MD, FACS · Answer

There are ways to correct the problem that you feel is present in your nose. For the best way to proceed, I recommend consulting with doctors in person. Although you did provide images, the best way to assess you is by seeing you face to face. All your questions can be answered thoroughly this way.Best of luck,Dr. Ali Sajjadian

Thomas Romo, III, MD · Answer

The structure of the nose between the nostrils is called the collumela. The stronger this structure is, the better the nasal tip stays supported. If it's weak , the tip will fall wnen smiling and when touched by your finger. Modern rhinoplasty techniques should emphasize strengthening this structure, usually accomplished by placing a collumela strut.

How should I correct my drooping tip / hanging columella (male)? (Photo)

Answers (8)

Answer: How should I correct my drooping tip / hanging columella?

Answer: How should I correct my drooping tip / hanging columella?

Answer: Nasal tip droop

Answer: Nasal tip droop

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How should I correct my drooping tip / hanging columella (male)? (Photo)

Answers (8)

Answer: How should I correct my drooping tip / hanging columella?

Answer: How should I correct my drooping tip / hanging columella?

Answer: Nasal tip droop

Answer: Nasal tip droop

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.