The increasing prevalence of nanoplastics has raised concerns about their potential interactions with nanoscale drug delivery systems and their effects on carrier stability and drug retention. This study combined MARTINI based coarse grained molecular dynamics with physicochemical characterization to investigate the influence of low density polyethylene nanoplastics on polysorbate 80 micelles used for paclitaxel delivery. Molecular dynamics systems containing 60 polysorbate 80 molecules and 9 paclitaxel molecules were simulated for 60 ns and compared in the presence and absence of LDPE nanoplastics. Structural organization and drug carrier interactions were evaluated using the principal moments of inertia, radius of gyration, solvent accessible surface area, root mean square deviation, radial distribution function, and energy analyses. In the absence of LDPE, the paclitaxel loaded micellar system remained relatively stable and showed moderate structural anisotropy, with a PMI anisotropy ratio of 0.236. The radius of gyration increased from approximately 2.8 nm for the polysorbate 80 micelle to 5.27 nm after incorporation of paclitaxel, while solvent accessible surface area values became relatively stable after about 40 ns. Radial distribution analysis showed a preferential association of paclitaxel with the hydrophobic tail region of polysorbate 80, with the strongest enrichment between 2.5 and 3.5 nm. RMSD and energy analyses further supported structural equilibration and reduced contact between paclitaxel and water. The presence of LDPE altered micellar organization and stability and showed behavior consistent with aggregation. Experimental characterization supported these observations. Synthesized LDPE nanoplastics smaller than 200 nm shifted the dominant DLS population from approximately 33.7 to 718.1 nm and changed the zeta potential from −11.3 to −32.3 mV. Overall, the findings indicate that LDPE nanoplastics can substantially alter the structural and colloidal behavior of polysorbate 80 micelles, with potential consequences for paclitaxel retention and release.