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Is the Entire Depressor Septi Muscle Supposed to Be Disconnected During Rhinoplasty?

asked 1 year ago by 11704 in Lindenhurst
Latest answer by James C. Marotta, MD
Question viewed 710 times
Tags: depressor septi muscle, muscle, technique

My doctor "released" (he said it was not cut?) the entire depressor septi muscle during rhinoplasty. I am unhappy with the changes it has caused. The skin in my lower face (from my nostril to the upper lip is now very loose. The doctor agreed that the changes did occur and said he can reconnect it. Is this possible?

5 answers to Is the Entire Depressor Septi Muscle Supposed to Be Disconnected During Rhinoplasty?

+1

Interruption of the Depressor Septi Muscle in Rhinoplasty

I'm sorry you've had undesirable changes to your upper lip after rhinoplasty surgery. However effective reconnection  the deperessor septi muscle is not surgically possible. Talk to your surgeon about what can be done to improve the appearance of your lip.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Changing of the upper lip following Rhinoplasty

In answering your question, it would be critical to know just how long ago you had rhinoplasty.  Your feeling of "looseness" between the upper lip and nostril could in fact be related some temporary numbness in this area that you get following rhinoplasty.  If the appearance of your upper lip is changed with smiling or animation it can sometimes be due to a columellar strut (cartilage graft) that may have been placed during the procedure.  While some of the fibers of... more
James C. Marotta, MD

Long Island Facial Plastic Surgeon

www.marottamd.com

+1

Can The Depressor Septi Muscle Be Reattached If It Has Been Released From A Rhinoplasty?

Once the depressor septi muscle has been released and/or cut, it is unlikely that it would be able to be reconnected. This is because once the muscle is released, it contracts and shortens. This would make reliably finding the ends of the muscle to be put back together very unlikely. However, it may be possible to reattach the tissues underneath the lip back to the anterior nasal spine with a suture. This may, or may not, grab some muscle. Either way, the feeling of a loose upper lip may be... more
Barry L. Eppley, MD, DMD

Indianapolis Plastic Surgeon

www.eppleyplasticsurgery.com

+1

Depressor Septi Muscle Disconnection During Rhinoplasty

Hi, The depressor septi muscle is often detached from it's boney connections during rhinoplasty to keep the muscle from pulled down the tip of the nose during the recovery period.  The muscles usually re-attach after a few weeks.  Hope that you love your new nose.  Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Is the Entire Depressor Septi Muscle Supposed to Be Disconnected During Rhinoplasty?

The depressor septi muscle in certain patients causes nasal tip depression ,because of its variant insertion into the nasalis muscle thus also shortening the upper lip on animation.In those patients I perform transposition of the muscle  thus achieving slight lengthening and upper lip fullness and a "stable " nasal tip. You don't like the change to your upper lip ,go back to your PS and discuss a potential correction. I don't think that... more
Erel Laufer, M.D.

Tampa Plastic Surgeon

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