What can be done to relax the depressor septi muscle? Droops when I smile (photos)

Hi there! Thanks for the question and great photos. I've heard of Botox being injected within the muscle but I'm not sure it's entirely effective. The benefit of performing at least tip work via a rhinoplasty is the resistance to the movement you're describing long-term. A caudal septal extension graft can be placed and used as an anchor point. This helps with resisting the downward motion of the tip. It is quite powerful and it doesn't necessarily mean that your profile will change significantly. I would seek consultation with a facial plastic surgeon to learn more. Hope this helps!

Hi @Loving120084! Thank you for sending your photos! A non-surgical approach can be achieved with Botox by relaxing the depressor septi nasi muscle. However, this is only a temporary fix. If you are looking for a more permanent fix, I recommend a rhinoplasty. I would not recommend cutting the muscle since this can cause the upper lip to look long and stiff.

You could try neurotoxin (e.g., Botox) to the muscle to prevent this from happening. If this solves your concern, then this could be repeatedly performed. Or, if you like the appearance from this but desire a permanent change, yes, the muscle can be transected.
If further tip elevation is desired despite the injection, then, a rhinoplasty may be in order.