Rhinoplasty: Q&A

Ask a Question

How to Correct my Drooping Nose Tip?

When I smile, my nose tip droops down. I read about the depressor septi being cut but I think my doctor does not want to cut any muscle. he wants to attach a cartilige or something to the septum. Which way is better? My sister had the muscle cut and her results are good. Her nose tip no longer drooped, but that was 8 years ago and things have changed.

Tags:

Comment on this

5 Doctor Answers | Asked by gbrenner in 91304

Doctor Answers (5)
Community Comments (0)

Rhinoplasty, Beverly Hills Rhinoplasty, Nasal Refinement, Nose Job

To answer the question of how to best treat your droopy tip, I'd have to see you or pictures of the nasal tip on profile, front and from below the nostrils looking up...both at rest and when you are smiling. Droopy nasal toips can be from: Enlarged upper lateral cartilages literally pushing the nasal tip doen (tension tip) weak nasal cartilage that lacks the proper support and so it sags a full angle of the anterior septum causing the nasal tip to point downward... more

Drooping Tip

Cutting the depressor muscle does help to inhibit tip drop with facial animation, as you saw with your sister. Discuss this again with your surgeon. Interrupting the muscle is an easy, minimally invasive procedure. The placement of cartilage at the end of your septum (we call this a strut) will help support the tip. If you're happy with the position of your tip when not smiling, this may not be necessary.

Richard W. Fleming, MD

10 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Commonly performed

The depressor septi muscle can be easily clipped at the time of the rhinoplasty surgery. When successfully clipped, the tip will no longer drop when smiling after the surgery. This is commonly performed and has no consequences to it.

You might also like...

Real Stories

Definitely Worth It! - Vancouver, BC

I've always wanted to have rhinoplasty ever since I was a little girl. My nose is the...

Before + After Photos

Before And 6 Months After African-American Rhinoplasty

View 3572 Rhinoplasty photos

Non-surgical alternative

A nice alternative to try before surgery is a small injection of Botox. A skilled physician who understands Botox and facial anatomy can put a small amount of Botox into the muscle and this can give you the "fix" you are looking for before turning to surgery. As a facial plastic surgeon, I can recommend rhinoplasty as the more permanent alternative. Of course, cutting the muscle is one option but muscles do heal. There are pros and cons to putting a cartilage graft to elevate... more

Drooping nose tip correction depends

The anatomy in siblings will not be exactly alike. What worked for one might not be the right thing for the other. Rhinoplasty is a very complicated operation. If you doubt what has been recommended to you, I would speak to other rhinoplasty experts before deciding. Post photos and we can offer more advice.

Doctors will not see your comments on their answers. If you'd like to follow up, please go here to ask another question.

Comments (0)

Ask a Question

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.