It is not necessary at all for the nasal tip to rotate upwards during
rhinoplasty, unless this is a desired outcome of surgery. When in fact
this upward tip rotation is achieved, it is common for there to be some
settling of the tip, so that it drops by as much as 3 to 5 degrees,...
The simple answer to your question is "yes". Some patients are not appropriate candidates for physiologic issues (active heart problems), for psychological reasons (unreasonable expectations, body dysmorphia), and for anatomical reasons (good nasal aesthetics that cannot be...