Second Revision Rhinoplasty for Bulbous and Drooping Tip?

Question

Hi, I have had two previous rhinoplasty operations, the first reduced the hump, the second made my nose slightly smaller overall, however I still feel like my tip is slightly bulbous and long/droopy, especially when I smile. I believe I have a hanging columella, even prior to surgery, I did not ask my previous surgeons to fix this as I didn't know much about rhinoplasty at that time. Can my nose be improved? Can the tip be more refined? Do I in fact have a hanging ? Is this easy to fix? Thank you.

Sam Naficy, MD, FACS · Answer

Overall the shape of your nose is nice.  You may be able to get slight improvement with another surgery but the risk/reward may not be worth it.

Kenneth Hughes, MD · Answer

The tip looks very nice and the hump has been reduced as you have mentioned. The hanging columella can be addressed with possible caudal septal trim and anchoring of footplates/medial crura to the septum, depending upon exam. However, I would agree with others that the columella is not particularly obtrusive and may not be worth intervention.

Steven Wallach, MD · Answer

Stop!! I do not think that you have a hanging columella and I think overall from the photos that you posted that things like very nice. No nose is perfect and yours is pretty close. I would leave it alone. Enjoy the nose for the rest of your life!

Richard W. Fleming, MD (retired) · Answer

Your tip can be improved with a limited revision to refine your result and lift your hanging columella. It is not easy but can be done by an experienced surgeon.

Second Revision Rhinoplasty for Bulbous and Drooping Tip?

Answers (4)