Is Medial Crura Supposed to Be Connected to Nasal Septum?

I had septorhinoplasty 4 years ago and notice my upper lip does not move the way it used to.As a result,it affects the way I look when talking. My doctor acknowledges this but has no answer.The d. septi muscle was cut but he dosen't believe that this can lead to such a dramatic change. It feels as though there is a connection supporting my upper lip to the septum that is not there.If I hold posterior part of the medial crura when I talk it feels normal. What can cause this?Is it fixable?

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upper lip normal

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1 Doctor Answer | Asked by 11704 in Lindenhurst

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Upper lip doesn't move right after Rhinoplasty

I have performed Rhinoplasty for over 20 years and it took me awhile to think this through and come up with a possible cause and solution. The possible cause: Some Rhinoplasty surgeons perform a dissection, during a closed Rhinoplasty, where the tissues below and in front of the columella are lifted. This is sometinmes combined, during septoplasty, with removal of the anterior septal spine...a small piece of bone in the exact area you feel no longer has an attachment... more