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

Question

Hi there. I am a 24 year old female and I hate my nose when I smile. Specifically when I smile, otherwise I don’t have an issue with it. When I smile it seems my nose gets pointed way forward. Is there any solution to this? Hoping non surgical because I am tight on money. Let me know!

Marc Polacco, MD · Answer

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!

Nima Shemirani, MD · Answer

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!

Eric M. Joseph, MD · Answer

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

Nelson Lee Novick, MD · Answer

Two microdroplets of Botox to the base of the nose (where the columella joins the topmost area of the white portion of the upper lip along with a small bolus of a lifting filler, such as Restylane Lyft, placed deep on the bone in the same region will usually satisfactorily, quickly and relatively inexpensive improve your issue. Hope this helps. Best of luck.

Jeffrey H. Spiegel, MD · Answer

Typically we would address this with rhinoplasty, but as you are overall happy there is another way using botulinum (botox for example) or fillers to tweak the nose.  This should reduce the downward appearance when smiling.

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

Answers (8)

Answer: Microbolus of Filler + Microdroplets Of Botox Can Help To Lift A Drooping Nose

Answer: Microbolus of Filler + Microdroplets Of Botox Can Help To Lift A Drooping Nose

Answer: Minor treatments

Answer: Minor treatments

Recommended reading

Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (8)

Answer: Microbolus of Filler + Microdroplets Of Botox Can Help To Lift A Drooping Nose

Answer: Microbolus of Filler + Microdroplets Of Botox Can Help To Lift A Drooping Nose

Answer: Minor treatments

Answer: Minor treatments

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Recommended reading

Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.