Can the depressor septi muscle be reattached so my nose can pull down when I smile again?

Question

I believe my surgeon cut my depressor septi muscle without telling me. My nose pulled down when I smiled and I loved that. I told my surgeon this and even had a photo of Paris Hilton as a reference because I liked lower angle nose tips. My tip now is pretty high and it doesn't move or have any animation. It's just this frozen thing on my face. Can this be reversed? Can I get my nose to pull down again? My smile is so different too. I have 30% less teeth show. So devestated

Michal Brichacek, MD · Answer

The muscle may not have been cut at all. During a rhinoplasty we use grafts in order to support the tip from collapsing after surgery. In some cases, supporting the tip on these grafts is enough to counteract the action of the depressor septi muscle. Removing the support of the tip on the grafts may be able to improve this, but at the same time could cause your tip to collapse and give you a very poor result after your rhinoplasty.

Can the depressor septi muscle be reattached so my nose can pull down when I smile again?

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