During Septoplasty I have lost my septum tip. My nose septum is goes down. What procedure will give me my original nose shape?

Question

During septoplasty I have lost my septum tip.my nose septum going down. What is the procedure of my nose to go in original shape

William D. Losquadro, MD · Answer

Overaggressive excision of septal cartilage during a septoplasty can weaken the nose and lead to both functional and cosmetic complications.  If too much cartilage is excised from the most forward, or caudal, portion of the septum, the nasal tip will begin to droop.  If too much cartilage is removed from the central portion of the septum, the bridge will begin to collapse and create a saddle nose. Correction requires rebuilding the septum with cartilage grafts.

William Portuese, MD · Answer

A septoplasty is performed in the back of the nose for obstructing bone and cartilage that is blocking air flow. It should not change the shape of the nose. If the tip of the nose has lost projection and is pointing downwards, a rhinoplasty is required to lift the tip. It is also important to release the depressor septi ligament which may be pulling at tip of the nose downward when smiling.

Stephen Weber MD, FACS · Answer

This does happen. If the caudal septum (bottom portion between the nostrils) is removed or destabilized the tip can droop. What is required is repositioning the tip and rebuilding the support that was lost with new cartilage grafts. If possible, these would be taken from the existing cartilage within the nose. If there isn't enough cartilage left in the septum cartilage would need to be provided by another source. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Kyle S. Choe, MD, FACS · Answer

Dear Aahi,Septoplasty should not alter the tip projection. However, aggressive septoplasty can lead to tip ptosis and alter the look of your nose. You will need to have a rhinoplasty with tip support placed to bring back the look you desire. I would seek a qualified rhinoplasty surgeon.

During Septoplasty I have lost my septum tip. My nose septum is goes down. What procedure will give me my original nose shape?

Answers (4)

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