Depressor septi release or resection can be performed.
Select a plastic surgeon who performs hundreds
of rhinoplasties each year, has great reviews, and has great before and
Kenneth Hughes, MD
Los Angeles, CA
Without any pictures at impossible to give an opinion on what may or may not be required with the cartilaginous structure of your nose. Some patients have a depressor septi ligament, and when that is present, it pulls the tip of the nose downward with animation and smiling. Releasing of the depressor septi ligament prevents the droopy tip from occurring upon animation. This can be performed as part of the rhinoplasty procedure or as a stand-alone procedure.
This is very common to happen. It is due to a muscle that extends from your lip to the base of the septum/tip complex called the depressor septi muscle. This can be cut and the pull down of the tip of the nose with labial animation can be improved upon. Now, you spoke of rotation and projection. These are two different issues. Rotation will be altered if a cartilage strut is placed (this will also alter projection) or if the cartilages are refined and the tip allowed to rotate to a higher position. Rotation will be double impacted by cutting the muscle, refining the tip, and reducing the hump. So you have to be careful that too much is not done at one sitting. For all intensive purposes, the nostrils should not be impacted, but by over-rotation the nostrils can be more visible.
Make sure that you consult with a Facial Plastic Surgeon who is a specialist in this particular surgery.
The easiest way to reduce the droopy appearance of the nasal tip is to cut a muscle (Depressor Septi) that pulls the tip down during a smile. It would only help during a smile. If you want to have less droopy appearance at all times then you need a tip plasty or a gently reduction of the dorsal hump that will rotate your tip upwards.
All this can be done without projecting every part of your nose higher.
This answer is not intended to give a medical opinion and does not substitute
for medical advice. The information presented in this posting is for patients’
education only. As always, I encourage you to see your personal physician for
further evaluation of your individual case.