Total rhinoplasty with cutting depressed septi muscle - should this be needed?

Question

I have a large and long nose and had a consultation to do a total closed rhinoplasty. when I told the surgeon that I don't want my nose to point down when I smile, the doctor suggested cutting the depressed septi muscle. then after few days i said i don't want to perform this method and he said its fine. But why would a surgeon offer this procedure when doing a total rhinoplasty shouldn't total rhinoplasty help the tip to improve? does this make me insecure? I have seen great results on rhinoplasty with this surgeon anyway.

Gary M. Horndeski, MD · Answer

Cutting the depressed septi muscle is rarely done in rhinoplasty and is usually requested by the patient.  If you do want this then it does not have to be done.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Providing that you have an experienced board certified plastic or ENT surgeon as your consultant, you should let him(her) decide what is needed to keep the tip in desired position; resection of a small muscle is a part of complex rhinoplasty when needed. Good luck.

Ronald J. Edelson, MD · Answer

There are several ways to raise the nasal tip during rhinoplasty. Rather  than overthink the depressor muscle work I would concentrate on the surgeon's experience reputation and cases he or she have done.

Total rhinoplasty with cutting depressed septi muscle - should this be needed?

Answers (3)

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