What options are there so my nose doesn't move when smiling after rhinoplasty?

Question

I really hate how my nose changes upon smiling *droops*. I have had something called a "Sinch suture" so my nose doesn't droop when smiling. However I had it removed as I thought it affected my teeth show. However I kinda do want it back. I guess what I would like to know is what options are there so the nose doesn't move when smiling. I hate how from profile view how it looks when I do smile. Is the procedure I had the only way or what other things can I bring up with my surgeon. Thankyou

Sam Naficy, MD, FACS · Answer

this problem is mainly a result of poor tip support - you would likely benefit from structural grafting of the columella and tip

Scott Trimas, MD · Answer

In some patients, the attachment of the nasal muscles in the central portion of the nose can pull the nose down while smiling. The easiest way to correct that is to snip that muscle during a rhinoplasty procedure and place a graft to prevent it from reattaching and support the tip of the nose. I hope this information helps.

Michael L. Schwartz, MD · Answer

Nose droop on smiling is a common problem when the tip is ptotic and underprojected. It can also occur when there is "tension' in the nose because the nasal septum is pushing it down. rhinoplasty can correct this for you permanently.

David A. Bray, Sr., MD · Answer

This not an uncommon issue. Usually I cut the upper lip muscles slighly and most importantly, I support the tip with a cartilage intercrural graft. Cinching sutures have been used to narrow the nasal base but, often lead to asymetry and discomfort.

Richard Ellenbogen, MD (retired) · Answer

By the sounds of it, you have a plunging tip.  You had this addresses and want it back.  There are a number of surgical maneuvers which can be done to address this issue either by way of muscle cutting technique, implant or grafts.

What options are there so my nose doesn't move when smiling after rhinoplasty?

Answers (7)

Answer: Drooping tip

Answer: Drooping tip

Answer: Plunging Tip

Answer: Plunging Tip

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Everything you need to know about Rhinoplasty

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What options are there so my nose doesn't move when smiling after rhinoplasty?

Answers (7)

Answer: Drooping tip

Answer: Drooping tip

Answer: Plunging Tip

Answer: Plunging Tip

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Recommended reading

Everything you need to know about Rhinoplasty

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