Can you rotate the tip of a droopy nose with closed rhinoplasty?

Question

My only major concern of my nose is the droopy tip but I want closed rhinoplasty, can it be done proporley through a closed rhinoplasty?

Toby Mayer, MD · Answer

Droopy tip correction by closed rhinoplasty is quite commonly done by an experienced rhinoplasty surgeon who does natural noses.

Sean R. Weiss, MD, FACS · Answer

You can rotate the tip of the nose via a closed approach.  Unless there is extensive work needing to be done or in the case of a revision the closed approach should be adequate for tip rotation.

William Portuese, MD · Answer

Closed rhinoplasty is only the approach, not the techniques performed to make the changes in the nose. Yes, closed rhinoplasty approach can lift the droopy tip by performing a tip plasty, cartilage removal, advanced cartilage grafting techniques, and releasing the depressor septi ligament which pulls the tip down with animation. For many examples of lifting a droopy tip with closed rhinoplasty approach, please see the link to our closed rhinoplasty photo gallery

Christian L. Stallworth, MD · Answer

Tip rotation can most certainly be achieved through an endonasal rhinoplasty approach.  Before choosing the approach you want, though, find a surgeon near you that is a board certified rhinoplastic surgeon. Your exam and consultation will help you convey the objectives you have for your nose while hearing the options available from the surgeon to achieve what you desire.good luck!

Barry L. Eppley, MD, DMD · Answer

For a primary rhinoplasty a closed approach can be used to create tip rotation. This approach may be less successful in revisional rhinoplasty depending on what was done during the initial procedure.

Robert Singer, MD · Answer

Improving a drooping tip is a frequent request of patients wanting nasal refinement.
It is possible to improve the cosmetic appearance of the tip alone without
altering the rest of the nose in some patients. Whether the optimal option in
your particular situation would be a tip rhinoplasty alone or a full
rhinoplasty would best be determined at a consultation. Either procedure can be
performed with a closed or open approach.

Following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or a facial plastic surgeon (ENT) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla,California

Richard W. Fleming, MD (retired) · Answer

A droopy tip can be treated with a closed rhinoplasty procedure. An experienced rhinoplasty specialist will explain all your options and give you a natural result.

Can you rotate the tip of a droopy nose with closed rhinoplasty?

Answers (7)

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