Postoperative Dropping of the Nasal Tip After Rhinoplasty

The Nasal Tip Rotation After Primary Rhinoplasty Using Columellar Strut Graft

“…Secondary nasal tip dropping might not be desired aesthetically [5]. Fred et al attributed this decrease in NLA to several causes [5].…”

“…Secondary nasal tip dropping might not be desired aesthetically [5]. Fred et al attributed this decrease in NLA to several causes [5]. These causes include scar contractures at the septocolumellar suture line, weight of the lobule, the pull-down action of the depressor septi nasi muscle, and finally failure of surgical techniques [5].…”

“…These causes include scar contractures at the septocolumellar suture line, weight of the lobule, the pull-down action of the depressor septi nasi muscle, and finally failure of surgical techniques [5]. Failure of surgical techniques can be a preventable cause as suggested by Fred et al To prevent secondary nasal dropping, Fred et al divided the nasal tip into two different types and suggested a specific surgical technique for each one [5]. The first type is the oversized nose with adequate projection, and the second type is snub nose with inadequate projection [5].…”

“…However, these results usually change gradually. Four to six weeks after rhinoplasty, we observe occasional dropping of the nasal tip due to several causes [5]. Such causes may include scar contractures, weight of the nose, and the action of the depressor septi nasi muscle [5].…”

“…Four to six weeks after rhinoplasty, we observe occasional dropping of the nasal tip due to several causes [5]. Such causes may include scar contractures, weight of the nose, and the action of the depressor septi nasi muscle [5]. In our study, we will focus on time as an independent variable and its effect on the degree of the nasal tip rotation and the NLA.…”