Nasal Depressor Septi Muscle Release
Q: Dr. Eppley, I have just read your comment about “Nasal Depressor Septi Muscle Release for Nasal Tip Animation Deformity”, I was wondering if separating the depressor septi muscle would not only stop a nasal tip droop when smile but also stop the tip from being pulled downwards while talking?
A: Nasal depressor septi muscle release, in theory, should also help somewhat with nasal tip deformity from talking as well. Although a more qualified answer would require seeing videos of your face while you are smiling as well a talking to look at the nasal tip movement that occurs.
It is also important to realize that there are two other muscles that also attach to the base of the nose, the nasal alas dilator and the superior quadratus, which can also create muscle movements that affect the base of the nose and how the tip may move.
The appropriate approach to your nasal tip concerns should be Botox injections. First treat the depressor septi muscle alone and see what happens with smiling and talking. If this is not completely effective than the lateral nostril bases should be injected to see if this produces a more complete elimination of nasal tip movement.
Dr. Barry Eppley