An algorithm for treatment of the drooping nose

Area of Science:

• Plastic Surgery
• Otolaryngology
• Facial Aesthetics

Background:

• Nasal tip ptosis, characterized by a drooping or elongated nose, arises from intrinsic and extrinsic anatomical factors.
• Causes include lower lateral cartilage abnormalities, elongated septum, heavy nasal skin, reduced maxillary support, hyperactive depressor nasi septi, aging, and prior nasal surgeries.
• Weakened tip support mechanisms and de-rotation can result from previous procedures like Goldman-type tip surgery.

Purpose of the Study:

• To present current principles for diagnosing nasal tip ptosis.
• To introduce an algorithm for preferred surgical methods and techniques for correction.
• To address both cosmetic deformities and associated nasal obstruction symptoms.

Main Methods:

• Accurate diagnosis of nasal tip ptosis.
• Recognition of the interplay between various anatomical components.
• Specific strategy planning and correction of anatomical abnormalities.

Main Results:

• Correction requires precise diagnosis and understanding of anatomical interactions.
• A systematic approach involving strategy planning and anatomical correction is crucial.
• Successful correction can resolve cosmetic issues and improve nasal breathing.

Conclusions:

• Effective treatment of nasal tip ptosis necessitates accurate diagnosis and tailored surgical planning.
• Addressing underlying anatomical abnormalities is key to stable and reliable correction.
• This approach aims to achieve satisfactory functional and aesthetic outcomes for patients.