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Will my Nose Job Permanently Affect my Smile?
I just had rhinoplasty a week ago and today my surgeon removed the bandage, splint and stitches. I just tried smiling and realized that I can't smile. My upper lip stretches out and it looks really strange. I'm really, really worried. Will I be able to smile normally again? Will my smile look the same?
Asked 37 months ago by
mt1254 in New York, NY
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Smile affected by nose job
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...
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Try not to get overly worried at this point.
During a rhinoplasty procedure, structures can be altered/changed that could affect a smile, and sometimes this is desirable and planned. Having said that, I think that most likely you are still having some swelling in the area and should wait for the initial swelling to go down--don't get overly worried at this point. Finally, when I perform an external (open) rhinoplasty, I advise my patients to refrain from too much smiling the first few weeks. Hope this helps!
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Keep smiling
MT,
One week out from your surgery is very early. There are many reasons why your smile may look different. I hope you asked your surgeon, as he/she may have performed something additional that would affect the smile directly. Things will change over the next weeks to months, so be patient. Good luck!
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Probably just swelling at this point
It would be extremely unlikely for a rhinoplasty to affect you smile in a permanent way. There is usually swelling, sometimes quite a bit, and it can temporarily change your smile, make you upper lip numb, etc. I would ask your surgeon about it, but most likely this will go away in several weeks.
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Your smile should return.
This is a question you should ask your surgeon - he/she knows what was done and if it will affect your smile, but in general, you are still very swolen and your facial muscles should return to normal as the swelling goes down. Remember, it takes a full year to see the final result with a rhinoplasty.
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Smiling after Rhinoplasty
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Discuss with your doctor, but you should be fine
Your smile is more likely to affect your nose rather than the reverse! The upper lip may in fact pull on the nose during some movements, and cause the tip to plunge.
The fact that your upper lip doesn't move well indicates to me that swelling and stiffness as a result for swelling is the reason. Over time, the lip should return to normal. Do talk to your doctor about yor concerns.