What Is The Best Way To Treat Dynamic Tip Ptosis?
Q: Dr. Eppley, Attached are various angles of my nose. The tip is what I’m really concerned with on how it arrows down- especially when I smile. Also I have a small hump in the middle to straighten. And from frontal view straighten a little as well.
A:The dynamic nasal tip ptosis occurs for two reasons, either one has a hyperactive nasals muscle and/or they have a natural 90 degree or less nasolabial angle nose to lip relationship. In your case that latter clearly applies making you more susceptible to a downward pull on the nasal tip.This is best treated by an open rhinoplasty where the tip position is rotated upwards a bit and supported by caudal septal resection and columellar strut grafting. At the same time the same nasal hump can be reduced.
Dr. Barry Eppley
World-Renowned Plastic Surgeon