Endonasal rhinoplasty to correct dropping tip while smiling?

Can a closed rhinoplasty approach correct a nose tip that drools while smiling? By cutting the muscle that makes it droop? Or would you have to do an open approach? Thanks

Doctor Answers 11

Maybe closed, but not by cutting a muscle.

There is not a muscle in the nose that can be cut to keep the nose from drooping when you smile. Almost always, when a nose is too long on smiling, it also is too long when the face is at rest. The work done to shorten the nose when the face is at rest is what keeps the nose from being too long when smiling!

See the "Web reference" link, just below this post, for a good discussion on how to stay out of trouble while searching for a rhinoplasty surgeon.

Omaha Facial Plastic Surgeon
4.8 out of 5 stars 37 reviews


Thank you for the question and clearly in the hands of an experienced surgeon a closed approach should give you an excellent result

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 59 reviews

Closed rhinoplasty for the drooping nasal tip.

A closed rhinoplasty approach can correct the muscle that pulls the tip down. You may need other issues corrected to balance the nose and give you a natural looking those. See a very experienced rhinoplasty surgeon for the best results. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 32 reviews

Endonasal rhinoplasty to correct drooping tip while smiling?

Either a closed (endonasal) or open rhinoplasty technique can be used to correct a drooping nasal tip.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your
best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon(otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Drooping nose

Resecting the depressor nasi septi muscle is something that we do with closed rhinoplasties.   The drooping tip is often more complex than just the muscle and a full evaluation is needed.  Feel free to send pics to consult@facialinstitute.com for and "off-line" evaluation.  Best wishes.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 11 reviews

Endonasal rhinoplasty to correct dropping tip while smiling?

Yes a closed approach can be utilized for this procedure but there are usually other alterations that need to be made at the same time.

Endonasal rhinoplasty to correct drooping tip while smiling?

An endonasal approach is also known as a closed rhinoplasty and can quite easily accomplish releasing the  Depressor septi ligament. Open rhinoplasty is not necessary. It's also important to evaluate the position of the lower lateral cartilages which compose the nasal tip to make sure they don't need to be operated upon to help as well with the drooping nasal tip. For many examples of releasing the Depressor septi ligament with Endonasal rhinoplasty, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Endonasal Rhinoplasty to Correct Drooping Tip

An endonasal or closed rhinoplasty approach can be used to correct a drooping nasal tip. An examination is necessary to determine exactly what should be done; i.e. just cutting the muscle or a more complete tip-plasty.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Drooping nasal tip

To correct a drooping nasal tip, you should focus on reinforcing the tip structures rather than cutting a muscle that can affect the rest of your facial animation; an open tip rhinoplasty is your optimal choice.

Arian Mowlavi, MD
Orange County Plastic Surgeon
4.9 out of 5 stars 44 reviews

Yes it can - Scarless Rhinoplasty

Scarless Rhinoplasty is absolutely the answer.   This is the approach all celebrities, models and actresses take because there is no external cuts or scarring.  The goal is to refine the nose, not drastically change the nose.  By doing subtle refinements we are able to finesse the sculpt the nose to match your face perfectly.  We can permanently contour your nose!  By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling.     

Do consult a board certified plastic surgeon who performscarless rhinoplasty as 100% of his/her surgical practice and does hundreds of these procedures a year.  

All the best!

Deepak Dugar, MD
Scarless Rhinoplasty Expert
Beverly Hills, CA 90210

Deepak Raj Dugar, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 13 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.