What is a Tip Plasty?
A broad nose that is out of proportion to the width of the face can make you look less attractive. A nose tip that points down and forms a peculiar angle with the lip, makes the person come across as rigid or unfriendly. Sometimes, a drooping nose also causes difficulty in breathing easily. The nasal tip is the focal point of the face and, hence, is extremely important for achieving an overall balance to the face.
Creating a symmetric nasal tip with the right projection, rotation and proportion to other parts of the nose is what a Tip Plasty procedure is meant to achieve. Tip Plasty is a surgical procedure which is specifically aimed at getting a better looking nasal tip. Tip Plasty helps in giving an elevation to the tip of the nose to make it more symmetric with the nose and the lips. It is also done to heighten the tip of an already high nose. The ideal nasal tip is slightly upturned and not bulbous but, at the same time, is not overtly pointy.
Who should get a Tip Plasty done?
If the nasal dorsal line is nearly perfect, then candidates opt for cosmetic surgery only for the tip of the nose. It is important to examine the components of nose like the bone structure, thickness of skin, cartilage and mucosa before the surgery.
Tip Plasty is ideal for candidates who do not have any problems in the structure of the bones but are not happy with the angle between the nose tip and the upper lip or the broadness of the nasal tip. Sometime the deformation is due to the formation of excess cartilage or soft tissue at the tip of the nose. In such cases, Tip Plasty is an ideal procedure.
Those with a bulbous nasal tip, low sitting nose, flared nasal tip, broad and flat nasal tip, wider nasal wings, drooping nose tip, or cartilage issues at the nose tip prefer to go for Tip Plasty.
How do you prepare for a Tip Plasty?
- Inform the surgeon or clinic beforehand about any medication you are currently on, either prescription or over-the-counter (OTC).
- Avoid aspirin or any blood thinners starting 2 days before the surgery
- Avoid Vitamin E starting 2 days before the surgery
- Stop smoking for at least a week before the surgery
- Inform the surgeon or clinic beforehand about any serious medical conditions you might be suffering from leading into the surgery. The clinic will always perform a blood test prior to the surgery but it is still wise to inform them beforehand of any preexisting conditions
- Inform the surgeon of clinic beforehand about any drug allergies you have a history of.
How is the Tip Plasty procedure done?
The surgery is similar to a normal rhinoplasty surgery but less extensive. Unlike a full-fledged rhinoplasty, a Tip Plasty surgery is specifically aimed at reshaping the tip of the nose and does not aim to make any structural changes to the bone or the dorsal line. During the procedure the cartilages in the nose tip are repositioned and reshaped. In the case of a bulbous nose which is characterized by thick nose skin and soft tissues, the procedure reduces the size of the nasal tip by removing excess soft tissue. Tip Plasty procedure takes around 30-45 minutes. The procedure is performed under sedation or local anesthesia.
Like most rhinoplasty procedures, a Tip Plasty can be performed using either an “open” or a “closed” approach. In a closed tip plasty approach, the surgeon simply goes through the nostrils to access the nasal tip area while in an open tip plasty approach the surgeon makes an external incision along the nasal columella (soft tissue between the nostrils) and lifts the nose like a flap to access the tip. Usually, rhinoplasty surgeons prefer to use the open approach for tip plasty as it provides much greater visibility of the nasal structures and allows for greater precision in reshaping the nasal tip.
What happens after the Tip Plasty?
At the end of the operation, silicone nasal splints and/or packing might be inserted into the nose which are typically removed on the following day (this is often not required if only the tip is operated on). An external splint is typically placed on the nose to support the new shape of the nose and protect it from trauma and this is typically removed within 7 days. The surgeon will also clean the site of the incision a few times in follow-up visits after the surgery and also suck out any dried or crusted blood that accumulates in the days following the surgery. Typical precautions to be observed following the surgery include:
- Avoiding smoking for one month after the surgery as this can delay the healing process and increase the risk of post-surgical infection
- Avoid any pressure on the nose including from sunglasses or eyeglasses.
- Sleep with the head elevated 20-30 degrees
- Avoid sneezing for the first few days after the surgery; if you have to sneeze do so with your mouth open
- Do not blow your nose
- Do not insert any object into the nose to remove crusting or blood. This can increase the risk of infection
- Make sure you take your medication as prescribed by the doctor and ensure that you complete the course of medication no matter how well you are healing.
- Avoid heavy physical exercise for at least 3-4 weeks after the surgery and avoid any contact sports for at least a month after surgery.
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How long will it take to recover from the Tip Plasty?
The patient can go back home on the same day. Almost no swelling and bruising is observed. Since the procedure doesn’t involve any change to the bone structure, it is fairly painless. You can go back to work right after surgery but will not be able to fly for at least 1 week after the surgery.
Most of the nasal tip swelling typically subsides within 2-3 months but residual swelling can last up to a year or longer. Any scars will start to fade after 3 months.