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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

Read my review "Smile Distortion After Weir Rhinoplasty"

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+1

Give it at least 3 more months.

 This may resolve itself in 3-6 more months. If after that time it has not, seek a second opinion from an experienced rhinoplasty surgeon in your area.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+1

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... more
C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
+1

Rhinoplasty and smile

Tightness after rhinoplasty may take 6 months or more to subside. This can be due to scar tissue and swelling  Give it some time it is likely to get better.. 
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

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... more
Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
+1

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.
George J. Beraka, MD
Manhattan Plastic Surgeon
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