Nose tip drop after primary rhinoplasty - is a revision or tip plasty required to get my desired result? (Photo)

Based on your photos, we can see that you would like to have your tip protruding less from your face and lifted somewhat. The cartilaginous portion of your lower bridge may need to be lowered as well. Since you indeed have thick skin, a tip graft maybe necessary to support your tip and to provide tip definition as you desire. Please consult with several reputable rhinoplasty specialist before moving forward, and if you have a copy of your operative report and preoperative photos, that may be useful. Wishing you well. Sincerely, Dr Joseph

Often the Tip can be modestly elevated with an office procedure with an internal incision along the distal septum and a combination of soft tissue removal , in some cases shortening the distal septum and sutures bringing the tip up. A formal tip rhinoplasty revision will allow are more significant shirtening

Unfortunately, a tip that's still too low is one of the more common complaints that revision rhinoplasty specialists see. The techniques for getting a tip up and keeping it up don't seem to be widely understood.

Actually, there's no difference between a revision tip plasty and a revision rhinoplasty. The recovery/swelling/bruising are almost identical. If you had a hard time with your recovery, perhaps it was the surgical technique used, perhaps it was just you. But when a surgeon performing a rhinoplasty or revision rhinoplasty, and he has some particular work to do on the tip (as in your case), the work on the tip is often 80 to 90 percent of the work of the entire operation!

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. It also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.