Is there a right method or is it just what the surgeon prefers? Which method is best? (Photo)

I saw two surgeons, one said he would remove the dorsal hump and do a septal graft to support the drooping tip, another surgeon said he would remove the hump and make 4 cuts which I know think means a osteotomy, so I think they bot would have done the osteotomy but the 2nd surgeon would lift the tip by removing some cartilage, I think he was talking about a cephalic trim, i think this also decreases the tip projection, which sounds good to me. So is one method better than the other ?

Doctor Answers 9

Rhinoplasty Technique

Nuance in surgical technique is not the consideration here, rather it is surgical judgment. In other words, what maneuvers are required to achieve a nose that has the shape, projection, rotation, and profile that you desire. In my aesthetic judgment, I think your tip needs support. It is slightly droopy and would require the surgeon to reduce too much of the bridge of the nose to achieve a straight profile. I would also want to minimize the appearance of your arched nostrils. That said, what is most important is that you are satisfied with your new nose. Computer imaging might help you visualize the relative difference in these two approaches. Also, carefully examine their before and after photographs. If you are not entirely confident, seek a third consultation. Best Wishes

Saint Louis Facial Plastic Surgeon
5.0 out of 5 stars 119 reviews

Droopy tip and bridge hump repair technique

There are many ways of achieving similar rhinoplasty results so I wouldn't be too concerned about what precise surgical technique is used for your surgery.

What is more important is the reliability of the surgeon's methods. I would review their before and after surgery results and make sure you like how the noses turn out in the long term (ideally about 1 year following surgery).

In the meantime you can read about droopy tip repair at my web reference link below.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Is there a right method or is it just what the surgeon prefers? Which method is best?

       I am an advocate of closed rhinoplasty with minimal grafting, but there are many reasonable approaches.  The key is to create a natural result.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews


I would recommend all of the above maneuvers. Dorsal hump reduction, elevating the tip and osteotomies to reduce the base width. It may sound confusing but a phone conversation or office visit would clarify these issues. Seek a Craniofacial plastic surgeon who specializes in surgery of the face in your area. 

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 293 reviews

Best rhinoplasty!

The best rhinoplasty is the one that makes you happy. Look at actual noses like yours the surgeon has done and pick the surgeon bases on his results. Not technique. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Best Method for Rhinoplasty

There is not one best method to do a rhinoplasty. We frequently see examples of this when teaching during panel discussions at medical meetings; different surgeons  show excellent results using different techniques on similar noses. Approaches will vary depending on the goals of each patient and the preferences of each surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews


Thank you for your photos and questions.  That said I use digital photography to show patients changes that could be accomplished with the nose till they see the result they are looking for.  That way the patient is fully informed about their procedure and I know exactly the result they are looking for

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 62 reviews

Rhinoplasty for droopy tip and dorsal hump removal

Rhinoplasty is very artistic and technical, so it is very difficult for the lay person to understand the nuances of techniques that are available to reshape the nose. It is best to visit a few surgeons  who are very experienced in rhinoplasty, and for patients to have very specific goals  upon what would you like to do with your nose such as lifting the tip, reducing the dorsal hump, and narrowing the bridge with osteotomies. Also important to release the depressor septi ligament, if present, which pulls the tip down with animation. For many examples and more information, please see the link and video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Nose Reshaping | Rhinoplasty

Thank you for your question.

I don't think that the two recommendations are vastly different, just variations of a theme.  The goals you recommend seem possible.

To be sure, see two or more board-certified plastic surgeons or board-certified ENT facial plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.