Rhinoplasty for Nasal Tip Ptosis, Wide Tip, Dorsal Hump, and Low Radix

Patient Profile:

• Age/Sex: Female
• Presenting Complaints: Drooping nasal tip, broad tip width, noticeable dorsal hump, and low nasal radix
• Additional Concern: Breathing difficulties

 

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Preoperative Findings:

1. Nasal Tip Ptosis: The nasal tip angled downward, giving the nose a “droopy” appearance and affecting the overall nasal-facial aesthetic balance.
2. Wide Nasal Tip: The broad tip detracted from a refined nasal shape, diminishing definition in frontal and oblique views.
3. Dorsal Hump Deformity: A hump along the nasal bridge disrupted the patient’s profile line and contributed to facial disharmony.
4. Low Radix: The nasal starting point (radix) was low, causing a less defined and harmonious transition between the forehead and nasal bridge.
5. Functional Breathing Issues: The patient also reported difficulties with nasal breathing, potentially related to internal structural imbalances.

Surgical Objectives and Plan:

• Raise the Nasal Tip: Elevate and support the tip using suturing techniques and possible cartilage grafting to eliminate the droopy appearance.
• Refine the Tip Width: Recontour and reshape the tip cartilages to create a narrower, more defined tip while maintaining structural integrity.
• Correct the Dorsal Hump: Reduce and smooth the hump to produce a straighter, more aesthetically pleasing profile.
• Augment the Radix: Slightly raising the radix (using a cartilage graft or other appropriate technique) to ensure a balanced transition from the forehead to the nasal bridge.
• Improve Airflow: Address any internal nasal valve collapse or septal deviation to enhance the patient’s breathing function.