Alongside the droopy tip, I've noticed my nose bridge seems to curve when I smile. Can a nose job fix that too? (Photo)

Question

Although my nose bridge seems relatively straight when my face is relaxed, it doesn't stay like that when I smile and it annoys me. I want to fix that alongside the droopy tip, can it be done? Is it difficult to correct? First pic is of my nose normally, second pic is when smiling, and third pic is what I hope it'll look like when I smile after a nose job. Is it a reasonable expectation?

Gerald Minniti, MD, FACS · Answer

This is not hard to correct. The mainstay of tip positioning is via a secure graft sutured to the septum known as a caudal septal extension graft, which along with division of depressor muscles between the nostrils, will reposition the tip in a precise location and prevent plunging when smiling.

Bora Ok, MD · Answer

Hello from Istanbul! The changes you want for your nose are common concerns that can be addressed with rhinoplasty. A droopy tip when smiling is caused by the depressor septi nasi muscle, which can be corrected by weakening or repositioning this muscle during surgery. Additionally, strengthening the nasal tip's support structures, such as the septum and lateral cartilages, helps maintain the tip's position both at rest and when smiling. Techniques like lateral crural tightening and lateral crural steal can reduce tip projection and improve definition, addressing your concerns effectively. Achieving a more harmonious profile is definitely possible. Ensure you find a surgeon whose aesthetic vision aligns with yours. Best of luck!

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos, your skin structure appears to be a thick skin, the healing period may take 1.5 - 2 years compared to normal skin, but it is possible to achieve the desired result with a single rhinoplasty operation, a much better result can be achieved. For get rid of this image I recommend you rhinoplasty surgery.
It would be better face to face consultation.
Best Regards!

Eric J. Yavrouian, MD · Answer

Hi there,
Refining the tip of the nose can improve its shape and appearance, particularly when you smile. I can assure you that the nose won't droop as it does now. However, it's challenging to predict the results based solely on how you want your nose to look, for example, only when you smile. It's best to schedule a consultation with a board-certified facial plastic surgeon for a thorough evaluation. If you have any questions, please don't hesitate to contact our office!

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for rhinoplasty. The tip can be lift and better shaped and projected, as well as thinned out some from the front. I think the after picture would look even better than above. Be sure to see rhinoplasty expert that can do computer imaging at the same time.

Gary M. Horndeski, MD · Answer

You would benefit from a rhinoplasty.  The cartilage can be added to the tip to make it project more and create the appearance you desire.

Best Wishes,

Gary Horndeski, M.D.

Zeshaan Maan, MD · Answer

Keep in mind, the contours of your dorsal profile are relative, when the tip is pulled down during your smile, it makes the portion of your dorsum above your tip appear more prominent. Rhinoplasty is an extremely powerful surgical treatment in the right hands and what you are noticing can definitely be corrected.

Eric M. Joseph, MD · Answer

It is normal for somebody's nasal tip to droop with smiling. Based on your photos, you appear to have thick nasal skin and your lower bridge becomes prominent when you smile such that your profile appearance goes from straight to curved. Techniques we might employ for a condition like this include a columella struck graft, and extended shield tip graft, and defatting of the nasal tip skin - along with lowering of the cartilaginous portion of your bridge. I hope this is helpful! Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a rhinoplasty with dorsal hump reduction, tip elevation, tip support, tip deprojection, and tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Shabnam Ghazizadeh, MD · Answer

Excellent question! Yes rhinoplasty would be able to address all of these at the same time. I recommend a consultation with a rhinoplasty specialist. Best of luck, Dr. Ghazizadeh

Alongside the droopy tip, I've noticed my nose bridge seems to curve when I smile. Can a nose job fix that too? (Photo)

Answers (12)

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