I had septorhinoplasty 4.5 years ago for a deviated septum and hump removal.To my suprise,after the surgery,I was told my anterior nasal spine was removed to fix a tension nose. I am very unhappy with the results.My upper lip was long to begin with and now it is even longer.It covers my upper teeth and functions differently when I speak.I also formed a horozontal line in the middle of my upper lip when I smile.The doctor has no explaination for my issues.Why did this happen and can it be fixed?
Can the Function of the Upper Lip Change After Tension Nose is Released?
Doctor Answers (3)
Upper Lip Appearance after Release of Tension Nose
The appearance of your upper lip is secondary to the removal of your nasal spine and probable lysis of the depressor septi muscle. There is nothing that can be done to repair the muscle, but the changes in lip appearance can be improved with the placement of a cartilage graft at the base of your nose at the posterior margin of the columella.
A Longer Upper Lip After A Rhinoplasty Can Be Corrected With A Subnasal Lip Lift
Removal of the anterior nasal spine and release of the depressor septi muscle can make the upper lip longer afterwards. It can also cause a horizontal line to form when smiling in some rare cases. These are well known effects from that exact procedure. The muscle is there for a reason and, while removing it may have solved one problem, this can be the trade-off. One fairly simple solution would be a subnasal lip lift. By removing some skin directly under the nose, you can shorten the middle third of the lip and 'resuspend' it so to speak. This is the only good option worth considering.