Usually, when a person smiles, the position of the nasal tip does not change. Unfortunately, in some patients, a smile can cause the nasal tip to droop lower causing a slight beak-like appearance. This undesirable appearance when smiling, is due to several anatomic factors including, position of the nasal tip cartilage and septum, along with their muscle attachments. In particular, the depressor septi nasi muscle located between the upper lip and central base of the nose is a common factor leading to a droopy nose when smiling.
Please keep in mind that although Dr. Chang may have produced this video, he does not actually perform them.
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