When does the nose tip drop with a septal graft?

Question

My Dr raised my nose tip higher because he said I have thick skin and made it a feminine angle. But I feel like it is abnormally high. Google says the tip only drops a little the first 6 weeks and after that the angle stays the same for lifetime. Is this true or will it drop more so it looks more natural?

Gary M. Horndeski, MD · Answer

Usually the nose tip does not drop much at all. When the swelling subsides, that is the only thing that will change the appearance of the tip but if it is supported by a graft internally then it will not change.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The answer to this will depend on the specific technique used by your surgeon. If your surgeon used a septal extension graft to secure your tip, then it may not drop at all. I would definitely recommend waiting at least six months, and if you are not happy with the tip position, and you have continued to follow your surgeon’s instructions and you do not feel like it is helping, then you may want to consider seeking secondary consultations.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

If you have very thick and oily nasal skin, the nasal tip may lower between 3 to 9 months after rhinoplasty surgery, depending on your examination. Thank you for your question. Sincerely, Dr Joseph

Shabnam Ghazizadeh, MD · Answer

Hi @sanaaa1997, Great question! This totally depends on the the technique that was used as there are several septal grafts that can be used to raise the tip. That being said there will likely be changes beyond 6 weeks and typically the tip drops a mm or so even after 1 year. I recommend discussing with your surgeon. Best of luck, Dr. Ghazizadeh

Mats Hagstrom, MD (license on probation) · Answer

To make an assessment, we generally need to see a complete set of proper before and after pictures.
Rhinoplasty results will change slightly primarily based on early postoperative swelling.
Much of this settles down in the first six weeks, but there may be subtle swelling that can persist over many months.
 Most people consider rhinoplasty results to be final at 12 months.
At six weeks you have a general idea of what your nose is going to look like.
Best,
Mats Hagstrom, MD

When does the nose tip drop with a septal graft?

Answers (5)

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