Can you repair depressor septi nasi?

If the muscle at the base of your nose was cut, and if this has led to a permanent droopiness of your central upper lip with smiling, it is not clear to me whether further surgery would be able to attach the muscle back together for normal functioning.

Hello and thank you for your question. Although it is not possible to repair the nasi depressor septi muscles, that is not likely the issue causing your problems. It fully depends on if your surgeon used rigid tip fixation such as an septal extension grafts or tongue-in-groove technique, then that could be corrected during a revision to give you a less stiff tip and more normal smile. With good surgical technique, you could likely 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

It is very difficult to repair depressor nasi muscle even if you had one or both( it is very variable muscle not present in all people, and sometime only present on one side). Dynamic lip lift with excision of portion of orbicularis muscle may be quite a successful way to improve dental show and smile.