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Nasal Tip Surgery Procedure

Ptosis is a medical term simply referring to a droopiness of a body part, in this case, the nose. The nose is a prominent facial feature and when the tip droops it can have a dramatic influence on the overall appearance of the face. The causes of a drooping nose are numerous and treatment can be surgical or non-surgical depending on the extent of the condition.

Some Causes For Nasal Tip Ptosis Are:

  • Excessive tip cartilage
  • Trauma
  • Elongated nose with lack of cartilaginous support at the tip
  • Loss of elasticity of ligaments and connective tissue as a result of the normal aging process
  • Prior poorly performed rhinoplasty (nose surgery) without proper supporting grafts may cause the loss of nasal tip support and thus drooping
  • Loss of bone calcium (osteoporosis) of the maxilla (supporting bone of the nasal tip and upper teeth) can cause a drooping nose
  • Nasal muscle pulling downwards on the tip

Injections Are Non-Surgical Treatments Of A Drooping Nose And Include:

  • Botox: Minor change for correction of muscle pulling down the nose.
  • Radiesse: Correction of minor to moderate changes by smoothing sharp angles and restoring depressions.
  • Restylane: Improve mild to moderate imperfections in the shape of the nose.
Yael Halaas MD

Surgical Methods For Restoring A Drooping Nasal Tip Are Numerous, Vary Greatly From Patient To Patient, And Include:

  • If the septum is causing the long tip, the septal cartilage can be trimmed at the caudal (inferior aspects of the nasal structure) edge.
  • Long lower lateral cartilage may require trimming and repositioning to rotate the nose upward.
  • Suture techniques that refine a bulbous nasal tip or projection and rotation through a tip elevation.
  • A columella strut (cartilage graft) may need to be implanted if tip ptosis is related to loss of medial support of the tip cartilages.
  • The tongue-in-groove technique can be used to provide tip support without adding a cartilage graft.
  • Cartilage grafts may be needed such as shield grafts, cap grafts, plumping grafts, or other tip grafts to redefine and alter the nasal tip.
  • If the tip is under-projected an onlay graft in addition to the columellar strut may be needed to increase tip projection.

Dr. Yael Halaas is a Facial Plastic and Reconstructive Surgeon who, through her extensive experience and well-known expertise in her field, will improve both cosmetic and functional deformities of a drooping nose.

Call Dr. Halaas at her New York City office for a consultation. Allow her to go that extra step in determining whether the muscles play a role in nasal tip drooping through a very simple test. She will just ask you to smile. This allows her to analyze the dynamic movement of the nasal tip and determine whether facial muscles need to be addressed. After determining whether surgical or medical treatment with injectable facial fillers will resolve your nose ptosis, she will explain in detail your best possible options and answer your questions.

Your outcome will be cosmetically, functionally, and ethnically topnotch.

Written by Dr. Halaas

COVID-19 Safety Measures

We understand that there may be times when you miss an appointment due to emergencies or obligations for work and family.

However, due to Covid 19. and the current CDC guidelines, we are implementing a new ” no exceptions” cancellation/no show/rescheduling policy effective September 1, 2020.

If any appointment is cancelled or RESCHEDULED less than 24 hours in advance you will be charged a fee of $100. This policy will be in place until further notice and applies to new AND existing clients We apologize for any inconvenience but look forward to getting through this difficult time together.

At Dr. Halaas office, we take our staff’s and patients’ health very seriously. We are implementing safety measures to ensure everyone who comes through our doors will experience the highest level of care and the lowest risk levels.

Safety of our Employees

Each day we are taking our employees temperatures and going over a questionnaire to make sure we are all in the best of health. If anyone has a temperature over 100.4, or has fever, sore throat, chills, loss of taste, cough, shortness of breath, muscle pains, or headache, they will be asked to leave and go see their primary care doctor, or go get tested.

If an employee has been in contact with someone with Covid, we will ask them to get themselves tested, or they will have to quarantine themselves for two weeks.

We have installed a sneeze guard at our front counter for the safety of both our employees and our patients.

Safety of our Patients

Patients must sign up for our patient portal before coming to their appointment

  • Information to get into the portal will be emailed immediately after making an appointment
  • Information to be completed will be medical history as well as a Covid questionnaire
  • Covid questionnaire must be completed for EVERY visit patient makes until further notice
  • We also have a patient app, MyPatientVisit, that we can communicate with the patient when we are ready to see them

All patients must wear masks to their appointment.

We ask patients to come to their appointment alone. Minors may be accompanied by an adult.

Temperature will be taken at the door.

  • If they have a temperature over 100.4 they will be rescheduled and asked to go see their primary care doctor

Once patient has been cleared, we will escort them to their suite where they will be treated.
We have removed water and snacks from our waiting area, as well as all pamphlets regarding services.

Each room will be thoroughly disinfected in between patients
We encourage telehealth consults beforehand, so we can make a plan for when patients do come into office.

Written by Dr. Halaas

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