Droopy Nose Tip when Smiling After Rhinoplasty (photo)??

Dear Mandyk7,

It appears that there are 2 things that can be done to help you out:

-bringing the columella (the bridge of skin between the nostrils) up a little bit

-weakening the muscle that pulls the tip down when you smile

I would recommend going to a couple of consultations and finding the specialist that is right for you.

Best regards,

Nima Shemirani

There are a number of reasons why the tip of your nose can droop or appear to droop after rhinoplasty. They include:


a long septum with a prominent infra-tip lobule (the area just below the tip

active muscle called the depressor septi pulling the tip down

the tip cartilage portion called the lateral crura may be oriented in a more vertical direction than the standard 45 degrees. That can make the tip look like its drooping when it really isn't, just measure it.


To determine the cause and treatment, seek out a specialist in revision rhinoplasty.

Two things cause this "tension tip": somewhat long caudal (end) septum and small muscle at base of columella. These can be corrected with a relatively straight forward procedure.

You have a hanging columella (part of the tip between your nostrils) even when you're not smiling which does make it worse. A small muscle at the base of your nose can also be cut to minimize this movement when smiling. This surgery is not complex as long as the work is done by an experienced surgeon who specializes in revision surgery.