Philtrum flat after rhinoplasty. (photo)

as you can see from the attached before/after photos, after my rhinoplasty 3 weeks ago, my upper lip has lengthened. My doctor said he would not cut the muscle that attaches my lip to my nose, as it would have a bad impact. Now I wonder why it looks so different? I miss the curved shape of my old philtrum and lips. I would like to avoid more surgery bit want to fix this! Also, from the front I have a naturally full upper lip. I feel that a lot of filler in the upper lip would be useless.

Doctor Answers 4


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Before you decide on anything, I recommend that you wait until all the swelling goes down.  It's only been 3 weeks and you are certainly in the early stages of the healing process.  The healing period can be stressful and it's important to be patient.  Be sure to continue to follow up with your surgeon.

Newport Beach Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews


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It is very soon to see the final result from the surgery, the swelling makes the lips look longer, besides the upper lip make look longer because some of the caudal septum has been removed, making the upper lip look longer, but this does not mean is bad, as once the swelling is gone and the upper lip moves better, then you may recover the shape on the filtrum.

Philtrum flat after rhinoplasty.

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Dear EleanorYou are in the early recovery period and your tip is likely still stiff and firm. Give it some time and likely it will be better in 4-6 weeks. If not better then can look at injectables or surgery as an option. Look for an experienced and well trained Plastic surgeon, certified by the American Board of Plastic surgery. see more than one consultation and make a well informed decision.

Afshin Parhiscar, MD
Bay Area Plastic Surgeon
4.8 out of 5 stars 58 reviews

Upper Lip Changes Following a Rhinoplasty are Almost Always Temporary

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Don't worry.  It still way too early to worry about any permanent changes o your upper lip and philtrum. It's very likely that the changes to your lip are simply due to swelling and that you will have your old lip back within a few months.The recovery from a rhinoplasty is a marathon not a sprint. At this point I wouldn't worry about a solution to the problem as it's really likely that once things have settled down there will be nothing to worry about.  Good luck.

Michael R. Menachof, MD
Greenwood Village Facial Plastic Surgeon
4.4 out of 5 stars 28 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.