Droopy Nasal Tip Explained

by Dr. Ramtin Kassir, M.D., F.A.C.S. | Oct. 8, 2016, 5:40 p.m.

plastic surgeon nyc

What causes a droopy tip and imbalance (alar-columellar disproportion) at the base of the nose? That is one a question we often get.

When performing rhinoplasty, it is important for surgeons to focus on all aspects and specific details of the nose, such as the alar- columellar disproportion in this particular case.  Each patient's surgery is unique, and special attention should be given to specific anatomic components of the nose such as the relationship of the alar rim to columella visibility and nostril proportion. In this particular case, this patient had natural hanging columella, and alar rim retraction, causing nasal imbalance (alar columellar disproportion).

As seen in the before photo, this patient had a droopy tip, and her nostrils lacked symmetry. She desired a more feminine, well balanced nose.

This is 1 week after surgery, and this patient will continue to heal for about a year after surgery.