Washington DC rhinoplasty patients want to improve a variety of aspects of the nose while keeping a natural appearance. The three top rhinoplasty requests from the best plastic surgeons or top rhinoplasty surgeons include
- reducing a nasal bump
- improving nasal symmetry
- elevating a droopy tip
The post discusses some methods to help lift a droopy nasal tip by modifying the depressor septi muscle.
What causes a droopy tip?
A droopy tip can be due to a variety of factors, including the nasal tip cartilage, nasal septum, muscle, and bone. These factors can contribute to a droopy tip to various degrees. One of the most common methods to improve a droopy tip in rhinoplasty includes reducing or cutting the depressor septi muscle, which is normally present for those with a plunging or droopy tip when smiling.
What is the depressor septi muscle?
The depressor septi muscle is a common factor in droopy nasal tips. This muscle connects the central base of the nose and upper lip. Patients with a very strong depressor septi muscle often also have a very droopy nasal tip. These patients may also have a relatively short upper lip or a gummy smile too. Smiling or facial animation activates this muscle (among several facial muscles) which can pull on the nasal tip downward.
How is the depressor septi muscle reduced with rhinoplasty?
The depressor septi muscle is commonly reduced by plastic surgeons who perform closed (endonasal) rhinoplasty. External incision is not required, and the depressor septi muscle can be addressed via internal nasal incisions or an incision hidden in the gum line inside the upper lip area. Sutures gradually dissolve with time.
Reducing, cutting, or detaching this muscle may be performed in isolation or as part of an entire rhinoplasty (ex. hump reduction, etc). Some with a droopy nasal tip may need additional maneuvers, such as sutures, cartilage reshaping, and/or cartilage grafts, to fully address a droopy tip. Rhinoplasty is specific for each patient. Some patients may notice a small, subtle effect with upper lip length after depressor septi muscle reduction.
What are alternatives to depressor septi muscle reduction?
Non-surgical rhinoplasty with Botox® or Dysport® injections can help relax this muscle. This method of non-surgical rhinoplasty is a quick office procedure and last approximately 3 months. Results without surgery tend to be more subtle as compared to surgical rhinoplasty. Botox injections can be an initial step, then later perform rhinoplasty for a more permanent or dramatic change as desired.
What are your questions on rhinoplasty or surgery for a droopy tip? Share your thoughts below.