Rhinoplasty is an intricate operation that requires imaginations from the surgeon, a game plan that’s based on the expected changes and, more importantly, a deep knowledge of the possible consequences of every surgical maneuver. That’s why rhinoplasty has a reputation for being both complex and risky.
“Dropped tip” or the nose tip reclining well below the natural profile of the nose is one of the common disappointments that follows a nose job.
Reasons why the nose tip could drop
1. Dropped Tip is predictable and will occur if it is not prevented
The Dropped Tip is will occur if the surgeon fails to design the tip in consideration of an array of factors. For instance, every experienced rhinoplasty surgeon knows that the tip tends to undergo contraction during the postoperative period.
Secondly, contractile forces and the forces of gravity will exert a downward pull on the incisions during the postoperative period and cause the tip to drop. Therefore, when conducting a nose tip lift, the surgeon must anticipate these changes and place the tip in a slightly raised position to the nasal profile.
If the surgeon fails to consider these core factors, the Dropped Tip will certainly occur in a matter of a few years.
2. The tip cartilage is too weak to hold the tip and the surgeon didn’t take it into account
Sometimes the remainder of the cartilage could prove to be too weak to hold the new tip. Think of it as weakened load-bearing columns that should support the wall of a building, the roof will simply sag and tumble down. If the surgeon fails to take into account the strength of the remaining cartilage, the Dropped Tip will certainly occur.
3. Healing contraction and tightening
This is the causative factor of the Dropped Tip that is the hardest to prevent. The Dropped Tip can occur when the swelling subsides and the tissues start to weld together and regain the natural profile. The surgeon must consider these changes when performing the surgery or else a Dropped Tip will occur.