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Is There a Way to Do a Rhinoplasty on a Drooping Nose (Esp when Smiling) Without Lengthening the Upper Lip?

Is cutting the muscle (causing the upper lip to lengthen) the only way to fix a "drooping" nose?

Doctor Answers (15)

Rhinoplasty to correct drooping nose w/o lengthening upper lip

+1

During a rhinoplasty a drooping nose is elevated by removing excess cartilage from the nasal tip and bridge. Sometimes a droopy tip is supported with columellar struts.  If the tip plunges upon smiling, it is best treated by releasing the depressor septi muscle.  When lifting the tip upwards, it gives the illusion of lengthened upper lip.  


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Droopy nose

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Droopy nose, especially when smiling (also called a tension tip) is fixed all the time without changing the length (or height) of the upper lip. Although optical illuson will suggest that the upper lip has lenghtened since you'll see more of it after the tip has been elevated and rotated upward.

Andrew Pichler, MD
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Nasal tip

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An easy option to keep the upper lip still while smiling is to clip a band like muscle, at the roof of the upper lip.  This does not change the length at rest it just will not shorten when smiling.  It is a minor procedure with little down time.  Think  about getting an office visit with a plastic surgeon in your area for more information.

Rodger Wade Pielet, MD (in memoriam)
Chicago Plastic Surgeon
5.0 out of 5 stars 2 reviews

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Rhinoplasty for droopy tip

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The most effective way to address a droopy tip is not by cutting the muscle but by cartilage grafting and tip suturing techniques which in fact can shorten the upper lip

Sam Naficy, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 145 reviews

Worried about lengthening upper lip during Rhinoplasty

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It's a matter of semantics.  When the tip is rotated up, the space between the upper lip and nose appears longer because it is no longer hidden by the droopy (rotated downward) nasal tip. 

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Correction of a drooping tip in rhinoplasty

+1

When the tip is rotated and elevated in a rhinoplasty procedure the upper lip is not lengthened to any degree. As far as cutting a depressor muscle, this is the 'weakest' maneuver and has the least impact on tip position and shape, and is seldom done. The lip can look longer as the shadow cast by the drooping tip is lessened, but the size will not change.

Best of luck,

peterejohnsonmd

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 30 reviews

Correcting a Drooping Tip

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Dear Texas,

It is possible to correct a drooping nasal tip without lengthening the upper lip.  "Lengthening" the upper lip may be an illusionary effect simply because more of the upper lip becomes visible when the tip is rotated upward, and may not be due to the depressor septi muscle being cut.  Good luck!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 32 reviews

Droopy nose

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Rotating the tip often creates the illusion of lip lengthening as the area previously covered is more visible. How much you would like to see is something you can try and determine with your surgeon before the procedure. Very often the increased lip show is desirable, if you limit it you may continue to have some droop on smiling.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Droopy tip procedure

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often times when tip projection is poor, a tip or columellar graft, or both, will correct the problem. cutting the nasalis septi muscle is for a "plunging" tip during wide smiling. it may not be necessary.

Rafael C. Cabrera, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 1 review

Treatment of Droopy Nasal Tip without lengthening the upper lip

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There are many factors and structures that contribute to the nasal tip support and system. Regarding your question with treating a droopy nasal tip without lengthening the upper, tip rotation can address this issue. One way to do this is by trimming the upper lateral cartilages and columellar strut grafting. However, you need to consult with an experienced rhinoplasty surgeon to have your nose evaluated and various options be presented to you. Check out his before and after pictures to get a feeling for his work. Good luck. Dr. Kevin Sadati

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 101 reviews

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.