Why does my nose curves down when I smile? Do I have nonsurgical options? (photos)

People's noses tend to droop with smiling due to upper lip muscles that pull down the nasal tip with smiling. We have not seen good results trying to lift a nasal tip with Botox or fillers. In our experience, rhinoplasty surgery may be the best option for repairing a droopy tip, if this is bothersome for you. Hope this helps. Dr Joseph

Hello! Thank you for your question. As far as I can see from your photo.When your smile your nose tip slightly drop. You can get rid of this image I recommend Rhinoplasty.f you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

There are strategies to raise the tip of the nose so it doesn’t plunge after rhinoplasty. Ask your surgeon specifically about it

The tip of the nose may droop with smiling if you have an overactive depressor septi nasi muscle. Signs of an overactive muscle also include shortening of the distance from the nose to the lip and a horizontal crease underneath the nose. You can try Botox to block this muscle and see if it decreases the amount that your nasal tip droops with smiling. If it does work, keep in mind that Botox is temporary. Cutting or repositioning the muscle with surgery would give a longer lasting result.

Why does your nose droop down when you smile? there is a muscle called the depressor nasi septi which pulls the tip down when smiling. this muscle is present in Caucasians as well as Asians, and many if not most Caucasian noses also have some drooping of the tip upon smiling. The situation is made somewhat more dramatic in people with under projecting tips. Underprojection of the tip is typical in Asians but it’s also present in many Caucasians. The surgery to correct this involves rotation of the nasal tip and in some cases supporting or increasing the projection of the nasal tip with various kinds of cartilage grafts. The latter is the most definitive way to correct this permanently. Cutting the muscle which pulls the tip down may create an elongated and stiff upper lip. While I do not advocate filler for this some surgeons may use filler to temporarily increase the projection and appearance of the angle of rotation of the tip. This has potentially serious risks however which you must be aware of.

Hi and welcome to our forum!
The "plunging tip deformity" occurs due to overactivity of the nasal base musculature. Surgical correction can be accomplished as per the article below.
Temporary non-surgical correction (3 months or so) can be achieved with injections of botulinum toxin (Botox) into the nasal base.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

Droopy noses has nothing to do with race. It is caused by the movement of the wings of the nose. I am the first surgeon that found a solution to this. This term, which I introduced to the medical literature as Japanese greeting, describes exactly your nose. Please check our social media accounts. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.