Nasal tip plasty is a type of rhinoplasty that focuses on reshaping the tip of the nose. It can be performed for cosmetic or functional reasons, such as improving the appearance of a bulbous, droopy, or asymmetrical tip, or correcting breathing problems caused by a deviated septum or nasal valve collapse.
Nasal tip plasty can be done using different techniques, depending on the anatomy and goals of each patient. Some of the common techniques are:
1. Tip elevation, lowering or projection
2. Bulbous tip refinement
3. Asymmetric nostril correction
1) Lower nasal tip correction
If nasal tip is lower than nasal bridge, need to make it higher.
To make the tip higher, put the nasal septum cartilage and ear cartilage.
2) Thick skin correction
fat and unnecessary soft tissue removal.
3) Wide tip correction
Narrowing the width of the cartilage using suturing method.
This is a case of nasal tip plasty by Dr. Jin Hong Ryul
– Delivery approach: This technique involves making an incision inside each nostril and delivering the alar cartilages out of the nose. The surgeon can then modify the shape, size, and position of the cartilages by trimming, suturing, or grafting them. The cartilages are then repositioned inside the nose and secured with sutures.
– Open approach: This technique involves making an incision across the columella (the strip of skin between the nostrils) and lifting the skin off the tip of the nose. The surgeon can then access and manipulate the alar cartilages directly. This technique allows for more precise and extensive changes to the nasal tip, but it also leaves a small scar on the columella and may prolong the recovery time.
– Closed approach: This technique involves making incisions inside the nostrils only and working through small openings to alter the alar cartilages. The surgeon can use various instruments and sutures to reshape the cartilages without exposing them. This technique avoids external scars and may reduce swelling and bruising, but it also limits the visibility and control of the surgeon.
The choice of technique depends on several factors, such as the degree of correction needed, the thickness of the skin, the strength of the cartilages, and the preference of the surgeon and patient. A consultation with a board-certified facial plastic surgeon can help you determine which technique is best for you.
Nasal tip plasty is usually performed under local or general anesthesia as an outpatient procedure. The surgery typically takes one to two hours, depending on the complexity of the case. After surgery, you may have some swelling, bruising, pain, and congestion in your nose. You may also need to wear a splint or tape on your nose for a week or two to protect and support it. You should avoid strenuous activities, sun exposure, glasses, and nasal trauma for several weeks to months after surgery. You should also follow your surgeon’s instructions for cleaning and moisturizing your nose.
The results of nasal tip plasty are not immediately visible due to swelling and healing. It may take up to a year or more for your final outcome to emerge. However, most patients are satisfied with their improved nasal appearance and function after nasal tip plasty. Nasal tip plasty can enhance your facial harmony, balance, and proportion, as well as boost your confidence and self-esteem.