8 Weeks Post Op Rhinoplasty. My Nostrils and Top Lip Are Not Looking Good? (photo)

I had an open procedure. The Dr. put in a columellar strut at the base, tip graphs and alar rim graphs. I lip does not come up completely when I smile and it feels like its being stopped at the base of my nose. My nostrils are very prominent and open. Their appearance hasn't changed since the operations. My top lip is much longer and flatter at rest than it was prior to the surgery. I am not happy with the result.

Doctor Answers 5

Eight weeks after rhinoplasty

It is expected that after tip grafts the nasal tip will remain stiff for several months. Eight months will be a better time to judge.

Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

Healing after rhinoplasty

Let me start by reassuring you a bit because you are quite early in your recovery, and your nose will continue to undergo significant change over the upcoming year.  Now to address your concerns.  It's completely normal to have stiffness, numbness and an odd sensation in your upper lip after open rhinoplasty - especially with the placement of a columellar strut.  That being said, your surgeon may have also released or cut your depressor septi muscle.  This would explain the alteration in your smile and upper lip appearance - but only he would know which of these scenarios is yours.  As far as your nostrils, your surgeon did place alar rim grafts, so with healing the nostrils should come down a bit.  However, there is a limit to how much alar retraction can be corrected with rim grafts, so if you are unhappy with the amount of nostril show then you could always consider composite grafts down the line.  For now try to give your nose sufficient time to heal before you form your final opinion.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Results 8 weeks after rhinoplasty

The stiffness you describe is probably related to residual swelling. Your nostrils are a little arched but this may also improve as the swelling resolves. Give it another month. Hang in there.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

Upper lip after rhinoplasty

It is quite common to have some stiffness in the upper lip after rhinoplasty and this may take several months to improve.  

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

8 Weeks After Rhinoplasty

Rhinoplasty takes longer for the final result to unfold than any other procedure.  At 8 weeks postop, there is a great deal of healing to do and speculation on how your results will be at 1 year is very difficult.  I would certainly voice your concerns with your Surgeon, but patience will be necessary over the next 6-12 months.

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
4.8 out of 5 stars 93 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.