Rhinoplasty Suggestions? Moves a Lot When I Talk, Causing the Tip to Droop? (photo)

Hello,The key is to a droopy tip is to rotate the nose upwards and prevent the excess pulldown when smiling. We utilize multiple maneuvers to carefully rotate the tip of the nose to lift it to an elegant height and design without any telltale signs of surgery. A bulbous tip can be fixed by many different techniques. A closed scarless rhinoplasty is the best surgery to fix this. By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

It is difficult to be specific without direct examination.  Most surgeons, however, prefer open rhinoplasty to correct an uneven, irregular tip. It appears your concerns could be addressed through a rhinoplasty with modification and reduction of the nasal tip cartilages, and elevation of the nasal tip by  reducing the length of the septum.

   The tip can certainly be refined and made less bulbous.  A muscle can be released to prevent the tip from drooping when talking and smiling.  The crooked nature to which you refer can be subtly improved and the dorsum can be refined as well.  Find a plastic surgeon with ELITE credentials who performs HUNDREDS of rhinoplasties each year.  Kenneth Hughes, MD Los Angeles, CA