Only cutting "Depressor septi nasi muscle" - tip of the nose will droop after surgery?

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  Transection of the depessor nasi septi muscles can definitely help with the depressed tip.  I usually perform other maneuvers as well such as angulated caudal septal resection and cartilage grafts, depending on the nasal anatomy.   Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
 

Dear UltimaWH in New York, NY:
So, your nose droops when you smile.   If you release the depressor septi muscle that may not happen.  The muscle is released by making an internal nasal incision.  No need for an outside incision and a columellar strut may not be necessary.  There are patients who have only release of the depressor septi muscle and they are very happy with the results.  No architectural changes to the nose need be done. 

I suggest you have consultation with very experienced, superspecialized rhinoplasty surgeons.  The time you spend doing the homework and research will pay off.  Visit websites, see the results of the work.  A close review of the before and after gallery is very important. 

Best wishes,

Robert Kotler, MD, FACS