Droopy Nasal Tip: Causes and Different Methods for Management

Emad, Ahmed

doi:10.21608/ejprs.2022.254698

Droopy Nasal Tip: Causes and Different Methods for Management

Document Type : Original Article

Author

Ahmed Emad

The Department of Plastic & Reconstructive Surgery, Faculty of Medicine, Beni-Suef University

10.21608/ejprs.2022.254698

Abstract

Background: Nasal tip surgery is one of the most challenging
procedures due to its several anatomic and pathogenic
variations. Droopy nasal tip is a common nasal deformity in
which the nasal tip is caudally rotated. The anatomical and
pathological basis of droopy nasal tip can be divided into two
main categories, extrinsic and intrinsic factors. The aim of
our study is to discuss and analyze the different causes of
droopy nasal tip and to put the appropriate plan to correct
such deformity.
Patients and Methods: During the study period, 50 patients
of droopy nasal tip were managed. Meticulous pre and intraoperative
assessment of the anatomical and pathological causes
of nasal tip drooping was done and according to these causes
we decided the proper technique for correction of such deformity.
Results: Postoperative assessment depended on evaluation
of the changes in nasal tip rotation and projection which was
done by measurement and comparison of the nasolabial angle
and Goode ratio (pre-operative and 1 year post-operative).
We found significant postoperative improvement of tip rotation
and projection coming to an agreement with the patient
satisfaction about the final esthetic outcomes.
Conclusion: There is no single technique or procedure
through which we can modify or improve nasal tip rotation
and projection. So for proper management of this deformity
the surgeon must understand the nasal tip support mechanisms
with adequate analysis of the underlying causes of such
deformity.

Keywords

Main Subjects

Aesthetics

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