by Ramtin Kassir, M.D., F.A.C.S.

A droopy tip (nasal tip ptosis) occurs when there is a more acute angle between the Frankfort plane and the long axis of the nostril. The root of this problem potentially lies in caudally-rotated or elongated lower lateral cartilages. Additionally, factors such as heavy nasal skin and elongated upper lateral cartilages can lead to this condition. A droopy tip is even a possible outcome from aging or previous nasal procedures. Rhinoplasty can be utilized to narrow the tip by cephalic trimming of the lower lateral cartilages, suturing of the lower lateral cartilages to the septum, cartilage reduction, and shortening of the septum.