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Smile Affected by Rhinoplasty
I had Rhinoplasty three months ago which involved a Weir excision. The doctor placed permanent sutures in to prevent my nostrils from flaring. My smile has never been the same and my surgeon refues to answer my questions. I am unable to smile widely and when I do, it takes a great effort and looks forced. The skin around my nose is also tight and I feel a tightness in on the inside of the nostrils at the base. Can my smile be fixed, to make my upper lip look normal?
Asked 32 months ago by
An2346 in FL
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Rhinoplasty Recovery
In the first several months following rhinoplasty, it is very common for both the nose - as well as the upper lip - to feel stiff. This can affect the appearance of the smile and is often frustrating for the patient. Usually, as the swelling subsides, the smile returns to normal and the smile feels and looks more natural. This can take months, so be patient.
If the appearance of your smile and the tightness does not improve over the next several months, it may be possible that your...
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Difficult smile after Rhinoplasty.
I'm sorry you're having dissatisfaction after your rhinoplasty.
If your nostrils were very wide, and you underwent Weir excision of the nostril skin, some tightness after 3 months may be expected. I don't personally perform Weir excisions because of the visible scar, but that doesn't seem to be the problem in your case. During my fellowship in facial plastic surgery over 10 yrs. ago, we occasionally placed permanent "cinching sutures" to narrow the nostrils. Your operative report...
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You probably need to have the sutures removed.
Hi!
It's very hard to tell what the problem is without examining you, but my hunch is that the nostril sutures will have to come out. Wait at least another 3 months before considering a revision.
If your surgeon really refuses to answer your questions (which is hard to believe), then you need another doctor.