Some patients have weak nasal tips. This must be assessed before the rhinoplasty, so that the necessary measures are taken to support the tip during surgery.
In cases where I feel that the tip of the nose is weak, I place a small piece of cartilage the columella at the base of the nose. This is called a «columellar strut» and its purpose is to help support the nasal tip so that it does not droop. Other techniques that I use to help maintain support of the tip include; preserving as much cartilage as possible in the tip cartilages, as well as the use of tip grafts to help support the tip.