Why does the tip of the nose fall off after rhinoplasty?
Before and after rhinoplasty surgery, certain questions make our patients think. The nose is the most prominent and prominent organ of our face. For this reason, a nice-looking and aesthetic nose makes people happy. Before nasal surgery, usually, “Will it be completely cured? Will it be like its old version over time? Is the recovery time long? ” such as, there are issues that make our patients think.
What does a nose tip drop mean?
Frequently asked recently after surgery “Will my nose rhinoplasty tip fall off?” I would like to address the question. This is not a question to be answered by generalization. First of all, it should be stated that; As people age, there is some downward displacement in the facial tissues and the tip of the nose with the effect of gravity, as in all body tissues. In other words, as a person ages, there is some drop in the tip of the nose. This fall is a little more in some people. The reason for this is that the nasal skin is thick, weight gain and loss, and structurally low nasal tip. In such cases, the tip of the nose starts to fall off at an earlier age. In other words, even if there is no surgery, the tip of the nose decreases a little as age progresses.
The first nasal tissues made after the operation are hard. Because the tissues are hard, the nose is raised enough. If the skin is not thick, thin, if the patient is under 40 years of age, the shape change at the tip of the nose will not be too much. However, if the patient’s age is advanced, that is, over 40 years of age, if some small skin sagging begins to occur on his face, and if his nose structure is too large for his face before surgery, if his skin is thick, there will be a slight drop on the tip of the nose. To prevent this, the skin should be taken, which is not something we like very much. Because at this time, a scar will be formed on the nose. For this reason, it is not a method preferred by patients. But technically these methods exist. For example, there are techniques such as removing the transverse skin from the upper part of the nose between the tip and the middle in thick-skinned noses. If we are to buy skin, we take it mostly from the nose wings or the lower point of the nose tip so that it remains on the suture line, so that the skin is removed. This other skin intake I have just mentioned is done from a more prominent area. In people with oily thick skin, this skin intake is not very obvious, but in a young person this skin intake is seen as a scar in the form of a line and this is a disturbing thing. That’s why we don’t prefer it.
Let’s come to what we call nose tip drop. There is a displacement of the tip of the nose rhinoplasty caused by the insufficient tension and stiffness of the tissues after surgery. That’s why the tip of the nose falls off. This is not the case for everyone. In fact, it is much less common than you think. Generally, as a result of nasal aesthetics performed at an advanced age, they are more common in thick and oily skinned noses and people with larger nasal skin than their face.
What should be done to prevent the tip of the nose rhinoplasty from falling off?
In patients with thick or excess nose skin, we try to reduce the skin a little from the nose wing or the tip of the nose. We try to make the skeleton structure in a thick and supported way and keep that skin up. However, since everyone’s anatomical structure is very different, it may not be possible to achieve the same level of success. Let’s take a person with a very large nose skin and a very small face. Let’s imagine that we have reduced the nose in a way that is close to his face by the facial features. If we try to reduce it too small, the nasal skin will drain more and the tip will fall more, so we do not want such a thing to happen. This time the nose remains big again. In such a situation, it is necessary to enlarge the face to achieve this proportion. Of course, this is not possible either.
This is an issue. Everyone is different from each other; There are many variables in terms of gender, facial features, age. There are many surgical techniques and opinions about such a tiny area. This is because of this. Of course, these problems stand out as there is an operation on an organ that is very visible and has many variables in the middle of the face.
As a result: Will my nasal tip drop after surgery? The answer to the question is entirely in the person’s own nose structure. Drop nose is inevitable in some people with or without surgery. Of course, we are trying to alleviate this situation to a certain extent by doing our best. Let me state again; It is not as common as it seems.