Approach to the correction of drooping tip: common problems and solutions

Area of Science:

• Rhinoplasty
• Plastic Surgery
• Facial Anatomy

Background:

• Drooping tip deformity affects nasal aesthetics and function.
• Treatment for drooping tip remains controversial.
• Identifying key anatomical characteristics is crucial for successful nasal tip surgery.

Purpose of the Study:

• To review key anatomical changes requiring correction in drooping tip deformities.
• To outline surgical steps for consistent results in drooping tip correction.
• To share personal experience in managing drooping tip deformities.

Main Methods:

• Analysis of pre- and post-operative nasal tip rotation and projection.
• Application of open or closed septorhinoplasty approaches.
• Utilized techniques include septum straightening, tongue-in-groove, columellar strut, LLC cephalic resection, LLC re-orienting sutures, and lateral crural overlay.

Main Results:

• Septum straightening (100%) and tongue-in-groove (87.8%) were primary techniques for tip repositioning.
• LLC cephalic resection (70.73%) and LLC re-orienting sutures (43.9%) were frequently employed.
• A columellar strut was used in 19.51% of cases.

Conclusions:

• Understanding key anatomical changes is vital for drooping tip correction.
• Specific surgical techniques can achieve consistent results in rhinoplasty for drooping tips.
• This review aids in the pre-operative decision-making process for drooping tip surgery.