Will my Nose Job Permanently Affect my Smile?

Hi MT,
It sounds like the muscles of your upper lip were freed up from the connections to the tip of your nose. This is the most common reason for the upper lip to hang down a little more than usual over your upper teeth, and also affect your smile following rhinoplasty.
We often times perform this maneuver during a Rhinoplasty when elevating the tip. By detaching the muscles, the tip of the nose is not pulled downward during the initial recovery period.
Fortunately, the effect on your smile should be temporary as the muscles reattach, and the normal function returns. In my patients it usually takes two to three weeks for the smile to return to normal. You should speak with your surgeon to find out exactly why your smile is different, and when you can expect it to return to normal.
Enjoy your new nose, and hopefully your old smile very soon. Be well.
Dr. P

When we use a columellar strut to enhance tip support, and help maintain tip position, the bottom of the strut is implanted down to the bone above your upper central teeth. The upper lip muscle may be spread to make a pocket, and temporary upper lip heaviness with smiling may occur. This is typically self-limited. Hope this helps.Dr Joseph

It is not unusual for someone's smile to be temporarily affected after rhionplasty because of swelling in the central portion of the lip.  This is especially true if attachments of muscles to the septum and tip were disrupted.  This will typically improve over the course of the first few weeks as the majority of the swelling abates.

Considering that you are only one week into your
recovery, it is extremely early to judge the results of your rhinoplasty. Your
new nose can take up to a year to completely heal, during which time swelling
will likely affect your surrounding facial features. It is understandable that
you are worried about your smile, but you should rest assured that your smile
will not be changed as a result of your nose job. Once the majority of your
swelling has gone down in the coming months, you will be able to resume smiling
naturally. 

Loss of animation of the upper lip following rhinoplasty
surgery is usually always secondary to swelling. In some cases, detachment of
the lip muscles from the distal nasal septum may also contribute to this
problem.

                  In
the majority of cases, function returns within a week following surgery. In
cases where the muscle attachments are divided, it may take as long as four to
six weeks.

                  It’s
important to be patient and maintain good communication with your surgeon. Your
surgeon should be able to reassure you and ultimately make this a good
experience. 

After rhinoplasty, especially if there is septal work done, there can be some numbness and swelling in the upper central lip area which usually subsides in 6-8 weeks. This can temporarily effect the smile. It is not permanent even when one releases the depressor septi muscles for a short upper lip.