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Should I exercise lip muscles after Rhinoplasty?

phillipmp123Aug 30, 2016
I had a rib graft rhinoplasty 14 days ago. They removed a scar on the philtrum I had from a cleft lip, did a maxillary labial frenuloplasty, and a lip fat graft. I'm worried about my smile because my lip hangs lower and covers my top teeth. There's a stiffness under my nose that I have to fight in order to smile. I've been stretching it as much as possible to try to loosen it. Should I continue? Will it ever not feel stiff anymore? It seems structural and I'm worried I'll always feel it.

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Dr. Emmanuel Mallol Cotes, MD
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Dr. Emmanuel Mallol Cotes, MD
Plastic Surgeon
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Answered on Aug 31, 2016
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Dr. Ross A. Clevens, MD, FACS
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Dr. Ross A. Clevens, MD, FACS
Board Certified Facial Plastic Surgeon
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Answered on Aug 31, 2016
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Miguel Mascaro, MD

Interestingly enough, I had a patient of mine a few months ago ask for the exact same thing! To be honest with you, without seeing the rest of your nose and face, it is difficult to assess how achievable and realistic your expectations are.  You have very poorly defined tip cartilages...

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Andrew Miller, MD

It is completely normal to see some irregularities in the nose as the different cartilages can be different shapes or in different positions. It would be best to see an experienced rhinoplasty surgeon for consultation to find out what can or cannot be done. Indentations can often be filled in,...

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John Michael Thomassen, MD

It does look like exposed cartilage inside your nostril.  This would be highly unusual as the incisions that are normally used would not exposed cartilage in this area.  I would have your surgeon examine you.  Exposed cartilage will become infected and necrose so you would want this corrected if...

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John Michael Thomassen, MD

The cartilage will not become exposed; however, the outline of the cartilage may become more apparent with time.  Some warping of carilage grafts does occur that can make the grafts more visible.  Best wishes, Dr. T. 

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Sam Naficy, MD, FACS

Based on your photos you appear to be a great candidate for tip rhinoplasty to reduce the cleft/bifidity of the tip. The cost is ~$10K and includes the surgeon fee, OR fee, and the anesthesia fees.  

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