Plunging Nose, Under-Rotated Nasal Tip

Patients with a droopy nasal tip, which occurs when the tip of the nose is more caudal than its ideal configuration, appear older than their biological age. Following postsurgical recovery, patients may begin to receive compliments from their friends on how much younger they look, which makes them feel better and more attractive, and helps them appreciate how negatively their droopy nose affected their lives prior to surgery. This is a common motivation for rhinoplasty. The success of droopy nasal tip surgery is also important for the surgeon; when less-experienced surgeons succeed in correcting a droopy nasal tip, they receive positive feedback from the patient and their colleagues, increasing their motivation and prestige. The success of the surgery depends on the surgeon’s anatomical knowledge, correct diagnosis of the underlying pathology, and selection of a surgical technique suitable for the patient. This chapter discusses droopy nasal tip, including the underlying pathology and treatment approaches.