Nose Tip Drop After Rhinoplasty
The structure and character of the nose should be in equilibrium as in architectural structures. There are a number of important anatomical formations that support the structure of the nose roof. If there are any deficiencies in the columns that holding the nose, cartilage and bone deficiencies in the nose structure can lead to collapse of the nose and tip of the nose.
The relationship between nose tip and nose back is very important in surgical planning. A low nasal tip may make the hook nose more noticeable.
What are the causes of nose tip drop?
Acquired or developmental causes that disrupt the normal structure of the nasal tip may be the cause of the drop.
Dropped nasal tip may be due to:
Removal of unnecessary and excess cartilage and bone during nasal surgery
Nerve cartilage and bone structure disorders due to impacts and traumas
Opening of the sutures used during surgery due to trauma
Thin and weak structure of the nasal cartilage
Depression of thick nasal skin and subcutaneous soft tissue with weak nasal tip cartilages
Increased angle of 30 degrees between nasal cartilages
The problem of low nasal distress may differ in males and females. The angle between the nasal tip and the lips is maximum 110 degrees for women and about 100 degrees for men. Numbers below this angle can be considered as dropped nose.
After the rhinoplasty surgery, the tip of the nose may not be in the planned place due to edema. With the reduction of edema after a period of time the nose will descent to to planned place.
However, pre-operative misdiagnosis and bone and cartilaginous tissue, which were removed during the surgery, cause nasal tip and back collapse. Although these sediments are not clear at first due to edema, severe bumps will occur at the tip of the nose as the edema will decrease after a period of 6 months to 1 year.
Dropped Nose Tip Surgery
The planning of these operations should be done carefully by an experienced doctor. Nasal tip operations can be performed under local anesthesia according to patient and doctor preference. The operation lasts approximately 1 hour and does not use tampon and plaster depending on the exact procedure.
During the operation, it can increase support with some surgical techniques such as cartilage support, cartilage advancements and some suture applications.
In the treatment of the tip of the nose only, bruising and swelling is minimal compared to the first operation.
When done with local anesthesia, the person can be discharged on the same day.