Drooping Tip When I Smile - Post Rhinoplasty (Photos)

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

Thank you for your question and for sharing your photographs. The shape of your nose at rest is pleasing; however, it appears that the support of the nasal tip is slightly flexible. This flexibility can be attributed to the moderately soft cartilage in the nasal septum and tip, where even a septal cartilage graft might not fully stabilize the tip.

In such cases, using rib cartilage for tip support is generally more beneficial because it provides more robust structural control. Additionally, elevating the tip-defining points slightly—without further shortening the tip—can offer extra protection against the impression of a downward-pointing tip. This is particularly relevant when smiling, as the nostrils move upward, altering their relationship with the nasal tip. By positioning the tip-defining points higher, the dynamic interplay between the nostrils and tip is maintained, reducing the likelihood that the nostrils appear to be sitting above the tip.

Hello! Thank you for your question.
As far as I can see from your photos It is possible to increase the projection a little more and raise the tip of your nose, but I recommend you to wait 1 year for this.
It would be better face tl face consultation.
Best Regards!

Some people require more tip support than others, when dealing with the correction of a droopy nasal tip appearance with rhinoplasty surgery. We utilize columella strut grafts, which is like a Matchstick size piece of cartilage, to be implanted in somebody's nasal tip to add structural support. Severance of the depressor septi muscle may not completely adequate, and we do not implement this in any of our patients. The best advice I could give is to visit a reputable rhinoplasty specialist for an opinion about your situation. Thank you for this question. Sincerely, Dr Joseph

I have studied your photos and not only do you have inadequate tip projection, but upon smiling the nose takes on a convexity and points downward, which is the opposite of what one would like to see in a postoperative result. In my practice, one of my first and foremost goals is to create excellent tip projection and definition, particularly upon smiling. In my experience, cutting the nasal depressor muscles is not effective. To explain the overall anatomy and goals: the nasal bridge should begin opposite the blink crease of the eyes, and end right before the tip begins -- or in other terms, in the "pre-tip" area. The tip should stand up alone with beautiful projection (at approximately 92 degrees from the upper lip). The tip should be detailed but not skeletonized . Upon smiling, it should not become downturned. This can be accomplished by inserting a columellar strut, or a septal-extension graft, which therefore guarantees tip projection in repose and during smiling. Thank you for your inquiry, and I hope this helps you.