Can rhinoplasty fix my dynamic tip droop? (Photos)

Hi there,The droopness during smiling is caused by hyperactive muscles and ligaments. This results the bridge to be more apparent. Since the ligaments and muscles are preserved with closed rhinoplasties it is more likely not get fixed this phenomenon with closed rhinoplasty. Open rhinoplasty will work best for this.Bye.

Rhinoplasty can create a tip structure that is stronger so it won't droop as much. The bump can be taken down to create a nice side profile. We usually do the procedure open, but the nostrils wouldn't have to be changed. Be sure to see a rhinoplasty specialist for consultation.

You are a good candidate for a rhinoplasty. Your bridge needs to be lowered and your tip raised. Raising the tip is simple but works better if the bridge is lowered.

Dear dec33,
it is hard to tell for sure without an examination. Based on your photos, it looks like you would benefit from rhinoplasty. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Can rhinoplasty fix a drooping tip ?One of the main functions of rhinoplasty is to elevate a drooping tip. In most people when smiling the tip droops because of muscular connections between the tip and other structures around the lip. Interestingly your nose tip does not really droop.. you have a rather high angle between the tip of the nose and the lip. What makes it look like it’s drooping when you smile is the prominence of the area above the tip called the Supra tip. Trimming that area will eliminate the appearance of a droop. You can test this yourself by taking photos of your profile, then printing them then erasing the area or blacking out the area above the tip that bulges outward suddenly your tip will look like it points up

Thank you for your questions and for sharing your photographs.
Rhinoplasty can address droopy nasal tip. This can be achieved with a Closed approach, fixing nasal tip to the septum and releasing the depressor septi nasi musle the pulls the nasal tip down on smiling.
I would suggest that you consult with an expert rhinoplasty surgeon and discuss what you do and do not like about your nose.

You should expect a full detailed examination of your nose to assess your nasal skin, cartilage, bony structures, and your nasal airway/ breathing. This will allow the surgeon to evaluate your nasal appearance and its relation to your facial features.

The use of manipulated (morphed) digital clinical photography provides a platform for discussion as to your desires and expectations. Such images are not a guarantee of exact results, but a great tool to ensure that you and your surgeon are on the same wavelength.
Best wishes,

Thank you for including the photos!
Yes, a surgical rhinoplasty could stop your tip from drooping while smiling. This can be done with an open or closed approach. Without seeing a frontal view, I cannot comment on whether or not you would be an appropriate candidate for alar base modifications.
There are several muscles that insert onto the side and tip of the nose that cause this to happen (my nose has the same anatomy). Another option, would be to try a small amount of dysport/botox to the depressor septi and possibly the LLSAS-- will last a couple of months, but you may find that this takes care of your concerns.
Best of luck!

Dear dec33,

First off, you have a nice looking nose. The dynamic droop that you are describing is actually due to small muscles that attach the central upper lip to the bottom part of your nose. When you smile, the muscle is activated and acts like a pulley to bring down your tip. A closed rhinoplasty can address this by a) dividing the depressor muscles b) placing a strut graft in the tip to stiffen it and resist the downward pull. The nostrils actually have less of a show when you are smiling and can also be addressed with rim grafts.

Rhinoplasty seeks to achieve a harmonious, symmetrical and natural-looking nose without altering its natural functions. In order to perform this type of surgery, the first thing we must do is make an appointment with a surgeon specialized in it.
It can also be used to: Reduce the size of the nose. Change the shape of the tip of the nose or the bridge of the nose.

Yes, a closed rhinoplasty approach can accomplish shaving down the dorsal hump, refining the nasal tip, reducing the hanging columella and narrowing the bridge line with all the incisions placed on the inside of the nose. It's also important to release the depressor septi ligament which dynamically pulls the tip downward when smiling. An open rhinoplasty with an external incision across the columella would not be necessary.