![fix droppy tip nose job fix droppy tip nose job](https://www.williamsfacialsurgery.com/wp-content/uploads/2019/07/Drooping_Nose_Rhinoplasty_Results_BC_3_After-1008x1512.jpg)
It is thought that this illusion is more likely to result from movement of surrounding facial muscles – like those in the upper lip region. Although it certainly looks like the tip of the nose drops down with smiling, research has actually shown that the tip of the nose plunges very little with animation. Compared to her resting profile photo above, you can see how the tip of the nose appears to plunge even lower down upon smiling. This can be seen in the adjacent photo of this same patient when she smiles. A plunging nasal tip means that the tip of the nose appears to droop down even more when the patient smiles. It is worth mentioning that some people would refer to this type of nose as having a ‘plunging’ tip. In the process of lifting the ptotic nasal tip, we discussed making some minor changes to the actual shape of her tip to create a more feminine overall look. If you look at her frontal view prior to rhinoplasty surgery, you can see her nasal tip is not only droopy, or heavy-looking, but also slightly boxy in appearance. So, by definition, she has a droopy, ptotic nasal tip that would likely benefit from cosmetic rhinoplasty surgery to help lift it up just a bit.
![fix droppy tip nose job fix droppy tip nose job](https://drrohrich.com/images/rhinoplasty/rhinoplasty-104.jpg)
In fact, the red lines here represent a 90 degree angulation and you can readily see how her nasal tip is even less than this angulation. If you measured her nasolabial angle (the angle created by the axis along the bottom of the nose crossing the axis of the upper lip), you would see that it is much less than the ideal female angle of 95-105 degrees. If you look at her pre-rhinoplasty photo, you can see subjectively how her nasal tip region dominates the appearance of her nose – and mid face region to a great degree. This is also referred to as a ptotic nasal tip – where the ‘p’ is silent and it pronounced ‘toe-sis’. This patient from San Diego desired to have her nose reshaped to primarily address the droopy nasal tip. But additional case examples, like this one here, help to further highlight this type of cosmetic rhinoplasty surgery. We have previously touched on this topic in another of our rhinoplasty tutorial discussions. Correcting a droopy nasal tip is one of the most common maneuvers I perform in terms of cosmetic rhinoplasty.