A droopy or hanging tip — one that points slightly downward, especially noticeable when smiling — is typically caused by weak tip support structures, an overly long septum extending too far down, or, as covered elsewhere, hyperactive muscle pulling the tip down during facial movement.
Correction generally involves a combination of cartilage grafts to add structural support and lift, along with trimming any excess septal length that's contributing to the downward pull. If muscle activity is a contributing factor, that's addressed as part of the same surgery — and this is precisely where experience matters. Diagnosing and correcting the muscular component of a droopy tip is a specialized skill that relatively few surgeons in private practice regularly perform; it's one of Dr. Kim's particular areas of focus, distinct from the cartilage work most clinics offer.
Consultation Tip
Smile naturally in front of a mirror and take note of how much your tip drops — showing this to Dr. Kim during consultation, or even a short video, helps him assess exactly how much muscle involvement is contributing to your specific case.
Ready to talk to Dr. Kim? Reach out on WhatsApp to book your video consultation: Chat with us on WhatsApp (+82 10-4434-6234)
— Dr. Hyung-taek Kim, KOWON Plastic Surgery