Rhinoplasty Recovery Guide 👃 - 23 - Does The Nose Tip Drop After Rhinoplasty?

Does The Tip of Your Nose Drop After Rhinoplasty Operation?

Does the nose tip drop after nose job surgery?



My patients often ask this question because they have learned about the problems that other patients complain about. During nose surgery, almost all support points of our nose are broken and repaired again. In particular, the additional support cartilage "strut graft" is prepared and inserted in accordance with the nasal tip anatomy. Apart from this, there are also different cartilage grafting and suture methods to increase the nasal support. The nasal tip contains cartilage regions which are very important in the transportation of the nose against gravity. During nose surgery operations, it is very important to perform these applications especially for re-stabilization of the nose tip. At the same time, the tip of the nose is firm and rigid and will prevent the tip of the nose from spreading down during the smile. However, in order to prevent abnormal tipping of the nose tip and the need for additional cartilage grafting, it may be planned not to damage the support cartilage tissue at the tip of the nose and to replant the nasal tip cartilage. Patients with adequate nasal tip support and no dissection in the caudal area of ​​the nasal septum do not require a placement of a columellar strut graft.

So far, I have no patients with a nasal tip - abnormally - downwardly postoperatively; it is necessary to know that there is no risk-free surgical intervention that can bring the risks of surgical applications. For example, even if all support structures are re-stabilized; Following a simple infection, the tip of the nose may melt down over the cartilage, leading down to the tip of the nose. These risks can be minimized by respecting anatomy, protecting the supporting tissues of the nose, performing surgery in clean and sterile conditions, proper care after the surgery and doctor control.



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Nose tip may fall down to 5-10 degrees in the early period normally after rhinoplasty !

The tip of the nose after rhinoplasty surgery in the weeks after the surgery due to the following principles can be directed downward 5-10 degrees (as usual!):

• In the early period after the rhinoplasty operation, when the internal nasal silicone splints are removed from the inside of the nose, the columella may appear lower (internal nasal silicone splints may cause the collapse to appear below). After removing the nasal silicone splints (removed after 7-10 days), and within a few weeks, the columella may move upwards and the nostrils may become less visible.

• After the rhinoplasty operation, in the first few weeks, the tip of the nasal tip can be replaced by a few mm from the front to the back, as the edema in the nose tip is reduced and the edema in the tip of the cartilage glands is slowly reduced.

Normally, a 5-10 degree nose tip can be seen in the downward direction.

Postoperative dropping of the nasal tip after rhinoplasty

After the rhinoplasty operation, it may rarely occur in the tip of the nose more than normal and saggy appearance. Depending on the following reasons, a nasal tip may be seen after (rarely) rhinoplasty:

• Scar contractures at the sutures of columellar and septocolumellar line
• Heavy nose tip (weight of the lobule must be evaluated at the rhinoplasty surgery) and there is no adequate nasal tip support (thick-skinned nose surgery algorithm is very important!)
• The pull-down action of the depressor septi nasi
• Nasal tip trauma by the patient in the early postoperative period
• Infection of nasal cartilages (tissue reactions reaching cartilage tissue due to nonabsorbable stitches) infection

Source links:    Dropped Tip After a Nose Job / Postoperative Dropping of the Nasal Tip After Rhinoplasty / Drooping tip after rhinoplasty / Can I have the tip of my nose lifted without full rhinoplasty? / Postoperative Dropping of the Nasal Tip After Rhinoplasty

The information in this guide was prepared by Dr.Murat Enöz for patients who underwent rhinoplasty. 
You can find different opinions and suggestions from other clinics and doctors. Please take into consideration 
the recommendations of the doctors who performed your aesthetic nose surgery. Sometimes drug names given here 
only in Turkey may also belong to the drugs found. Plenty of luck :)

Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

Private Office:

Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52

E-Mail: muratenoz@gmail.com
Mobile phone: +90 533 6550199

Fax: +90 212 542 74 47