Hi all, My nose drops when I smile. What solution would you advise for me? Thanks a lot.

Muscle release will help reduce tip droop during animation.Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Resection of the hyperactive depressor septi muscle can be done from either an intraoral or an intranasal approach. Release of this muscle will stop the dynamic tip motion downward.

When the nasal tip  droops with animation and smiling, it is due to an active depressor septi ligament  which pulls the tip down when the smile muscles contract. Releasing of the depressor septi ligament can be performed as a stand alone procedure or as  part of  a full rhinoplasty procedure.

There are several options for a drooping nasal tip. Botox can often be an effective 3-4 months solution for what is referred to as a dynamic tip. The muscle that causes the droop can also be divided or partially removed with a short surgical procedure. This can be performed with a more extensive rhinoplasty or as a stand-along procedure. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Hi Yael,This is a pretty common problem that you describe, but it is more obvious in some than others.  It is due to hyperactivity of a muscle that attaches your nose to your upper lip.  I often divide this muscle through an incision inside the mouth to release it and fix the problem of the tip drooping when you smile or talk.  It is call a depressor septi nasi release.Take care,Dr. Zannis