How to fix my drooping nose when i smile? (photo)

This is a great question, and a very common complaint! There is a tiny muscle called the depressor septi that attaches the nose to the upper lip. When we smile, this muscle contracts, often pulling the nose downward. A permanent solution involves cutting the muscle. This may be performed during a rhinoplasty, or it could be performed as a solo procedure using local anesthesia in the office using incisions hidden just inside the nose. A neuromodulator such as botox, dysport, or xeomin could also be used to paralyze the muscle; however, this would need to be repeated every 3-4 months. I hope this information is helpful, and best of luck to you!

Hi @amichelle55! A non-surgical approach would be to inject botox into the depressor septi muscle. This will relax the muscle and stop your nose from drooping down when you smile. Best of luck, Dr. Nima!

Based on your photos, you may have a wide and asymmetrical nasal tip that droops with smiling. Adding filler to your nose would not lead to a narrower or lifted appearance. When it's feasible for you, consider consulting with several reputable rhinoplasty specialists. Thank you. Dr Joseph