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Cost to respect depressor septi muscle?

Lalala2025Aug 13, 2024
When I smile my tip drops really badly. It's clearly. Multitude of issues but I do want to release the muscle to see if it helps? If done properly is it relatively safe and without bizarre complications? Any advice is appreciated

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Dr. Steven M. Denenberg, MD
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Dr. Steven M. Denenberg, MD
Board Certified Facial Plastic Surgeon
4.6 | 63 Reviews
Answered on Aug 19, 2024
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
4.9 | 1736 Reviews
Answered on Aug 15, 2024
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Steven M. Denenberg, MD

From these photos, it seems that, even ignoring the red, your nose doesn't need the bump there. Maybe there's a case for going in and removing the graft that sits there, if it's causing the red and a noticeable bump?

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Oakley Smith, MD, FRCSC

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It would be helpful to evaluate additional photographs from additional angles to give you more accurate advice. Generally speaking, a revision could be performed to smooth the dorsum, enhance the cosmetic results, and improve breathing. I recommend that...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. It is definitely possible to remove a septal extension graft and replace it with a different support system that can feel softer and more natural. I would never advise leaving a tip unsupported without any grafts, however. I recommend that you seek...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. I don’t recommend having rasping performed under local anesthesia. This will usually make the nose look better for 1-2 months and then it will actually get much worse long-term afterwards, with contour irregularities developing. This is because the skin o...

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, I would recommend a revision rhinoplasty with nasal tip deprojection. This can shorten the elongated appearance of your tip. With good surgical technique, you could have an outstanding result. I recommend that you seek...

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