This section of the forum is dedicated to discussions on rhinoplasty (cosmetic, reconstructive, and functional) nose surgery, also known as a “nose job”. Ethnic rhinoplasty topics can be addressed either here or in the Ethnic Cosmetic Surgery Forum.
Hi Doctor, my poor dear Doctor, today I have made so many questions! (I had my computer at work down for a while and could not get into the forum as often as I wanted to).
Anyway, here goes the last one
In people with long noses and/or noses where the angle between the skin over the mouth and the nose is 90º (or less, but let's assume 90º) I understand why putting a filler at the base of the nose and creating an angle slightly higher than 90º will make the nose look more upturned and a long nose look less long or nicer (well, it depends on each case, but let's assume it is real for a person that changing that angle creates a positive difference).
I have read a thousand times (not here specifically) that raising people's nose's tip can counteract the actual or apparent "nasal" drop that comes with ageing and that makes people's nose look weird, longer, like a beek sometimes, when they smile (because the tip is or seems like pushed down - I hope I get to explain myself!).
Ok. But what I wonder and don't understand is how that weird/beak appearance of a longer, uglier nose when smiling can go away, as fillers can make the nose more upturned, but that the nostrils remain in basically the same position and actually tend to go "up" or look like they open and go up when we smile.
A person who had a filler at the tip of the nose, when smiling, will for sure look better (well, at least I have seen it in some people) because the nose looks shorter and does not go "down"... but the nose seems to still keep a bit of a beek appearance, as the nostrils had not changed.. so the tip does not go "down" the same way but the nostrils still go a bit "up" by the movement of the cheeks and so the nose remains looking a bit like a beak, particularly when looking at the person from the sides.
Is there a solution for that? Or is that not even a problem in most cases and it's a matter of specific long-eish noses?
hmm, difficult questions to answer but here goes: 1. as far as the deficiency immediately below the nose, that is what i was referring to in the previous answer to your forum question regarding a premaxillary deficiency. i also forgot, you can put some restylane in their too. if the nose is downturned, it could be one of 3 reasons: a. premaxillary deficiency, b. and underrotated tip (where the tip actually is drooping), c. an active depressor septi muscle when you smile, that muscle pulls the tip down. 2. i would not try to rotate a tip to counteract the pull down effect during smiling. that is problematic in the sense that the nose would then look too rotated upward (pig like) when you don't smile at all. that is not a good situation. the only thing you can do to minimize the pull down effect during smiling is to botox the depressor septi. you can watch my new video log for the lower face botox in my vlog section to understand this anatomy better. or you can snip the muscle. i think though an entirely static nose is not necessarily natural in appearance so i rarely cut the muscle. 3. as far as tip droop in aging, that is rarely encountered. it is usually in much older men past 60 years of age who have very thick skin and heavy tissues. tip drop prior to that, especially in women, is much less common. i hope that is relatively clear. btw, thanks for the questions. i don't mind answering them. that is the reason for the forum. best, sml