Apologies as I understand we have had numerous threads on related concerns come up but my situation is specific to posterier impaction which translates to a clockwise rotation I believe . While I think there is general consensus that advancement and maybe to a lesser degree anterior impaction has the potential to tip the nose up and make the nose wider and more flared at the base, I could find very little information on the possible impact of CW rotation on the nose. Just visualizing this leads me to believe there is some potential for the tip/Columella to drop following this movement but my surgeon adamantly says no, that is not within the realm of possibility. Going into the surgery I already had a somewhat droopy tip and was very concerned that following the jaw surgery , the hooked appearance would be made more pronounced and now a month out of the procedure, I do think it looks like my tip had dropped a little bit . weirdly enough I specifically looked out for this immediately post op and did not really notice a visible deterioration of the tip position until 2 weeks post op. I know as the swelling resolves and the ratios , proportions change ever so slightly every day, some changes that might not be fully apparent at first are now drawn into focus. I tried to search the literature and did read about a case where the nose acquired a hanging Columella after impaction because of over zealous anterior nasal spine contouring .
I had 8mm posterior impaction , 4mm anterior impaction and 2mm advancement
did anyone go through anything similar?
