How to prevent nose from pointing down when I smile, advice?

Question

My nose points down slightly when I talk but dramatically when I smile. My nose appears to be straight when resting my face. It looks completely different obviously when the tip points down so much. I hate it , it throws off the balance in my face and seems to diminish my smile too. Is there anything non surgical ....like Botox they can fix this ?

Nelson Lee Novick, MD · Answer

Without photos, I can only comment in a general way. But, both Botox (as well as the other neuromodulators, Dysport and Xeomin), which works to decrease hyperkinetic motion of the facial muscles, can help to diminish the kind of downward motion of the nasal tip with smiling that you seem to be describing. It usually only takes a microdroplet or two placed right at the junction of the upper lip and the center of the columella to achieve sufficient damping of the downwardly pulling muscle responsible. When there is a downward droop of the nasal tip at rest, which you say is not present here, fillers placed in that same location can be helpful in elevating the tip. Make sure that you consult with a board certified aesthetic physician. Best of luck.

Eric M. Joseph, MD · Answer

In general, when somebody's nasal tip drops with smiling, rhinoplasty surgery is necessary to permanently lift the nasal tip. If you would like a more concise evaluation of your condition, please consider asking your question with photographs. Thank you. Sincerely, Dr. Joseph

Val Lambros, MD, FACS (retired) · Answer

although it looks like the tip plunges when you smile it's actually a complex illusion. The nostrils pull up, the lip shortens, there is little actual drop of the tip. There's an article on this on my websiteBotox and restylane fillers in the columella might help a little, they are reversible. A rhinoplasty with a tip graft would help more but is not perfect

Alexis Parker, MD - Account Suspended · Answer

The tip of the nose can be easily lifted with a non permanent hyaluronic acid filler.  Be sure to choose a very experienced doctor who has done many of these procedures and understands the balance of the face both dynamically and at rest.  The hyaluronic acid filler will revise your nose more permanently as it is used in repeated treatments.  All the best.  Alexis Parker MD

How to prevent nose from pointing down when I smile, advice?

Answers (4)

Answer: Non surgical nose job

Answer: Non surgical nose job

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Everything you need to know about Nonsurgical Nose Job

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How to prevent nose from pointing down when I smile, advice?

Answers (4)

Answer: Non surgical nose job

Answer: Non surgical nose job

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Recommended reading

Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.