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Tip Rotating in a Droopy Tip: Endonasal Approach
The Problem
Droopy tip with crowding of upper lip and elongated nose.
The Background
A droopy tip is one of the most common motivations for an aesthetic rhinoplasty. Drooping may be defined as a nasolabial angle of less than 90 degrees. In clinical practice this angle may be difficult to measure, because a curved transition of the upper lip profile to the columella. As for the patient presented here, the aesthetic impression of the nasal profile and computer imaging is crucial to coming to a mutual agreement regarding the surgical goal.
The Indications
The technique described herein is suitable for patients with drooping in combination with an overprojection of the tip. The endonasal approach is preferred.
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