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Second Revision Rhinoplasty for Bulbous and Drooping Tip?

ukgirl25Jan 24, 2013
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.

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Dr. Sam Naficy, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Jan 25, 2013
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Dr. Kenneth Hughes, MD
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Answered on Jan 27, 2013
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Dr. Steven Wallach, MD
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Answered on Jan 26, 2013
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Dr. Richard W. Fleming, MD (retired)
Board Certified Facial Plastic Surgeon
Answered on Mar 13, 2016
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More Revision Rhinoplasty Questions

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Ivan Wayne, MD

You are very early in the healing phase. I think there are 3 reasons patients get polly beaks: 1. The tip is too weak and drops back making the lower part of the bridge appear too high forming a polly beak, this can be seen immediately after surgery or it can develop slowly as a weak tip...

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Chase Lay, MD

Thanks for your inquiry   essentially everything you've been told thus far are the other physicians on Realself.com is accurate. You'll need a significant amount of cartilage grafting from your ear to extend the length of the nose, rebuild the mid-vault of your nose and make it...

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Barry M. Weintraub, MD, FACS

I am so sorry that your surgeon did not spare you this worry by explaining to you how the nose will look postoperatively! In my practice specializing in rhinoplasty surgery, my staff and I explain in detail that having an upturned nose at first is perfectly normal. This is due to swelling, as...

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Steven Wallach, MD

Alloderm becomes incorporated in the tissue and should not resorb overtime.  Good luck with your new nose.

+3 answers
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Thomas A. Mustoe, MD, FACS

It is normal for the scar to be not flat and visible at 2 weeks. These scars settle down over several months, and it is rare for a revision of the scar to be necessary.  The scar will generally improve for up to a year, and unless it is very bad, would not recommend revision before then. It...

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Alejandro Nogueira, MD

ASAP, give up fillers, you are damaging the tissues and making more difficult, riskier and eventually at a certain point unfeasible your revision rhinoplasty.Based on the images I have to doubt you major deformity is due to a simple medical surgery on you like, I guess, a septoplasty; since...

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