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

asked 9 months ago by jimbo1 in London, H9
Latest answer by Francis R. Palmer, III, MD
Question viewed 300 times
Tags: nose tip, droopy, depressor septi muscle, options

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

6 answers to 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

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

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. see video
Babak Azizzadeh, MD

Beverly Hills Facial Plastic Surgeon

www.facialplastics.info

+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?

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.
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Drooping tip of nose

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
+1

Tip droop

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
+1

Nose still drooping after depressor septi muscle cut

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... more
Philip Miller, MD

New York Facial Plastic Surgeon

www.drphilipmiller.com

+1

Depressor Septi Transection

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

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