My Surgeon Cut the Depressor Septi Muscle to Stop my Nose Drooping when I Smile but There's Little Improvement. What Can I Do?

Hi, My nose tip droops when I smile and the bridge becomes more curved like a 'roman nose'. The surgeon only cut the depressor septi muscle and interestingly the bridge of my nose is straighter when I am not smiling, however there is little improvement in the drooping of the tip when I am smiling. Is it possible the surgeon cut the wrong muscle? Is there anything I can do? Thank you so much in advance

Doctor Answers (6)

My Surgeon Cut the Depressor Septi Muscle to Stop my Nose Drooping when I Smile but There's Little Improvement. What Can I Do?

+1

My Surgeon Cut the Depressor Septi Muscle to Stop my Nose Drooping when I Smile but There's Little Improvement. What Can I Do?  That's not a substitute for rotating the nasal tip upward which is what would be required.  I have done this through an isolated incision along the anterior nasal septum with placement of a permanent suture to rotate the nasal tip upward and elininate the tip droop.


Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 12 reviews

Drooping tip of nose

+1

The drooping of the tip when smiling is dynamic and due to the depressor muscle.  However, it sounds to me like you would benefit from an actual rhinoplasty with elevation and refinement of the tip as well as surgically altering the dorsum.  This suggestion is tempered by the fact that you did not provide any pictures.

All the best,

Talmage J. Raine MD FACS

Talmage J. Raine, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 8 reviews

Tip droop

+1

Tip droop can happen from either the muscle being very strong or poor tip support. I do not commonly divide the muscles, but do reinforce the tip. This usually eliminates the droop.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

You might also like...

You likely need tip reconstruction with structural support to prevent the dropping

+1

You likely need tip reconstruction with structural support to prevent the dropping.  I would suggest going back to your surgeon to discuss or getting a 2nd opinion.
 

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 4 reviews

Nose still drooping after depressor septi muscle cut

+1

Either the muscle needs to be cut further or the tip  cartilage is weak and can not withstand the external forces associated with smiling and droops.  To determine if there is still muscle action present, a small amount of Botox can be injected at base of the nose, where the columella and the lip merge.  If you still have tip droop after that, then the cartilages may be too weak and they need to be reinforced.  If the droop goes away, then the muscles need to be released further.

Philip Miller, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 42 reviews

Depressor Septi Transection

+1

If you are still experiencing tip droop when you smile, the muscle was not completely transected.  Fortunately, this can be done quite easily in the clinic under local anesthesia.

Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
4.5 out of 5 stars 7 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.