This is almost always caused by the depressor septi nasi muscle, which runs from your upper lip to the base of your nasal septum. When this muscle is more active or stronger than average, it pulls your nasal tip downward every time you engage the muscles around your mouth — smiling, talking, or even laughing.
This issue is often overlooked simply because correcting it well requires a specific skill set — precise knowledge of facial muscle anatomy combined with rhinoplasty technique — that isn't part of every surgeon's regular practice. Dr. Kim has particular expertise in this exact area, which is one reason patients with this specific concern often seek him out rather than a general rhinoplasty consultation. Correction involves releasing or partially resecting this specific muscle during surgery, which stops the downward pull without affecting your ability to smile or speak normally.
Consultation Tip
Take a short video of yourself smiling and talking naturally before your consultation — seeing your tip movement in motion, rather than just in still photos, gives Dr. Kim a much clearer picture of what's happening.
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