Droopy Nose Tip After Rhinoplasty

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Understanding Drooping Nose Tip Reoperation

A drooping nose tip is a condition where the tip of the nose drops due to the failure to firmly fix the support of the nose tip during surgery or the absorption of the nose tip cartilage. The more nose reoperations are performed, the more structural damage occurs. If the support structure is not sufficiently reconstructed, it will gradually weaken, leading to a drooping nose tip, decreased height, or sagging over time.

Considerations for Drooping Nose Tip Reoperation

In reoperations due to a drooping nose tip, severe tension can occur when the nose is significantly raised or extended, potentially causing the nose tip to tilt and the crooked nose to worsen. It’s crucial to reinforce weak areas and ensure the middle nasal septum and cartilage support are firm to prevent tilting.

Procedure for Drooping Nose Tip Reoperation

1. Create a nose tip support with autologous cartilage, strengthen the cartilage of the nose tip, and correct the nose tip by grafting the cartilage.
2. Patients with dynamic drooping tip before surgery are mainly affected by the inferior nasal septum, so appropriate manipulation of the inferior nasal septum should be performed during surgery.
3. In cases of static drooping tip that recurs or is not corrected after surgery, it is corrected using appropriate reinforcement and tip grafting.