How Safe and Effective is It to Cut the Depressor Septi Muscle?

My nose tip tends to droop with facial animation. I have heard that cutting the depressor septi muscle can help alleviate this problem. However, I am wondering how safe, easy, and effective this procedure is compared to other rhinoplasty procedures (e.g., a full rhinoplasty). Is this a procedure that most experienced nose surgeons should be able to complete? Thank you for your insightful answers.

Doctor Answers 4

Simulate cutting the depressor septi nasi

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Dear New York

  • This Rhinoplasty technique can be effective,but the muscle fibers can reattach and not be completely effective.
  •  To see if you would like how it looks :
    • You can ask your surgeon to inject a small amount of local anesthesia (lidocaine) into the muscle.
    • This lasts only an hour or so.
  • If you liked that, you could have Botox placed (lasting 3 months or so)
  • If you wanted more permanent changes, then rhinoplasty would be your next step.
  • In my experience, most people choose the division of muscle during rhinoplasty if they liked the simulation.

Best Wishes

Sacramento Facial Plastic Surgeon

Cutting depressor muscles in rhinoplasty works.

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It is unusual for the downward moving tip to be an isolated problem. So typically detaching the depressors is done as part of a rhinoplasty. But it can certainly be done by itself.

Several muscle fibers need to be detached, spreading from one nostril to the other. Then we insert a spacer so that the muscles don't reattach.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Cutting Depressor Septi Nasi Muscle

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It si safe and very easy to cut the depressor septi muscle to decrease nasal tip droopng when smiling. This can be done as an isolated procedure or  as part of a rhinoplasty procedure. It is an effective technique, but some motion may return if the muscle reattaches.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Cutting the depressor nasii septii muscle for drooping nasal/nose tip with smiling: try botox prior to surgery

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Cutting the depressor nasi septi muscle can be an effective method of minimizing downward turning of the nasal  tip with smiling. However, piror to proceeding with this you could try Botox.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.