If The Tip of The Nose Drops, Can It Be Corrected?
Rhinoplasty surgeries are operations which may need to be repeated, sometimes more than once. Due to visual or functional problems, a revision rhinoplasty surgery may be need the targeted result is not achieved after the first rhinoplasty surgery.
The need for a revision rhinoplasty surgery can be seen shortly after surgery or can present itself in the long term. Changes in the nose that occur during the healing process, as the swelling subsides, deformities may reveal themselves.. One of these conditions is the dropping of the tip. The mentioned condition of the tip dropping after a rhinoplasty operation can occur in time, as the position of the tip of the nose becomes more downwards, creating a more round, convex appearance while right after the operation, the tip can be in the desired position at first. This condition sometimes may make the nose seem like it has formed a hump again.
A few reasons can be mentioned about the occurrence of a ’drop’ in the tip of the nose after a rhinoplasty. In most cases, such a drop can be anticipated and prevented. The first reason is that the surgeon does not allow for an expected drop and therefore incorrectly positions the tip with reference to the rest of the nose struture, including the bridge position. It is known that the tip of the nose will suffer a downward pull as the incisions tend to contract. Contraction force from gravity and incisions may make the nose tip prone to dropping. The surgeon should be able to anticipate this in the stages of surgery planning and during the surgery itself.
The second common cause of tip dropping is that there is not enough support to maintain the position of the remaining cartilage at the tip of the nose. If the surgeon does not realize that the cartilage in the tip is weak and if a part of it is removed to narrow the lower of the part of the nose, it will not maintain its position, a drop in the tip may occur. During the physical examination, the surgeon should assess the strength of the cartilages in the nose and should be able to estimate the strength of the remaining cartilage when a portion is removed.
Another reason for tip drop may be the fact that there is no dropping in the tip of the nose, but the nasal tissue above the nasal tip rises and the tip of the nose appears to have dropped. This is usually due to the inability of the surgeon to predict the contraction and tightening that occurs in the cartilages in that area during the healing process. As the swelling decreases and the tissues begin to fuse together, the cartilage in that area may rise. Thus, a convex profile is formed that makes the tip look like it has dropped.
Even though it may be little, there is a risk of complications or unwanted results after each plastic surgery. While this is also the case for rhinoplasties, to reduce such risks, it is recommended to that you pay extra attention when choosing a doctor. And if a condition like this occurs, it is possible to have it corrected with a revisional operation.