When the nose looks upturned after septoplasty — can rhinoplasty revision be done by repositioning tip cartilage?

01

What was the question?

It was a question from someone who received rhinoplasty following septal nose surgery. After correction via septoplasty, bridge and tip plasty were done with the remaining septum — tip lowering wasn't wanted, so only tip plasty proceeded.

But perhaps because of that, the concern now was that the nose looks upturned. They wanted only tip lowering via revision and asked whether a nasal implant must be added, or whether correction is possible by repositioning tip cartilage with the already-operated septum.

02

From when can rhinoplasty revision be received?

The asker was a month and a half past septoplasty. To receive tip cartilage repositioning revision at this time, waiting until at least about 6 months pass appears to be the right approach.

General criteria for how revision timing is set can be seen together in the revision guide.

03

Can the tip be lowered again with the remaining septum?

When revision becomes possible after about 6 months, tip-lowering revision proceeds — and what gets used then divides by the current state of the septum.

• If the septum is strong — correction is possible by septal repositioning. In this case, a direction of resetting the tip position can be considered without newly adding an implant.
• If the septum isn't strong and the tip is markedly upturned — other cartilage portions like ear cartilage or rib cartilage may be needed.

In other words, "must an implant go in, or does repositioning work" isn't a predetermined answer — it's a part judged after confirming whether the remaining septum is strong enough to support the tip. What structures get looked at together in tip correction can be seen in more detail in the nasal tip surgery guide.

Also, since such judgment is only possible by seeing the actual nose state, for details we recommend meeting the surgeon who operated, discussing in detail, and then deciding.

04

Summary — timing and septal state are viewed together

If the tip looks raised after septoplasty, it's easy to first think of what material to use. But what must be confirmed first is two things — whether at least about 6 months have passed since surgery, and whether the remaining septum is strong. If the septum is strong, correction is possible by repositioning alone; if it's markedly upturned and not strong, other cartilage like ear or rib cartilage may be needed.

What direction is possible in the current nose state can only be judged by direct confirmation. We recommend checking the current state first in a 1:1 video consultation.