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

Question

Hello, I have had 2 rhinoplasty procedures. The first one was to remove a very large hump, and the second one was to improve my droopy tip. Although my tip has improved when my face is at rest, it still droops tremendously when I smile from the front and the side view. I have narrow, long nostrils but I dont mind them, my overall nose does not bother me except for this droopy issue while smiling. Is the procedure to fix this easy and simple? Or is it complex? Thanks!

Nima Shemirani, MD · Answer

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

Steven J. Pearlman, MD, FACS · Answer

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.

Andrew Pichler, MD · Answer

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.

Richard W. Fleming, MD (retired) · Answer

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.

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

Answers (4)

Answer: Droopy Nasal Tip

Answer: Droopy Nasal Tip

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

Answers (4)

Answer: Droopy Nasal Tip

Answer: Droopy Nasal Tip

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Everything you need to know about Rhinoplasty

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