What is the best solution for droopy round tip after primary rhinoplasty? (Photo)

Hello and thank you for your question. Based on your photographs, may benefit from adding tip support and refining the tip with addition of a fascial tip graft. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

maintenance of tip shape and tip position after rhinoplasty is heavily dependent on the techniques that were used to accomplish the on-table result. In cases where the tip is being de-projected and tip rotation is being increased it is imperative to support the new tip complex with cartilage grafts (septal extension graft vs columellar strut graft) to allow for stable results with healing and long-term. A revision rhinoplasty may be necessary to reposition and reshape the lower lateral cartilages while appropriately supporting this with a cartilage graft.
Sean M Fisher MD