Why wouldn’t rhinoplasty raise my lip? (Photo)

Question

Looking to get a tip plasty to make my nose bigger and pointier. When I pull on my nose, it creates more space to breathe in my nostrils (why I’ve still got septum pierced at 44- handy tool to tug on). Why would a tip plasty not raise my upper lip like it does when I pull on my nose? I have a long philtrum and it seems a lot could be remedied by adding structure to my squishy nose.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question I recommend you lip lift together with rhinoplasty operation so that you will have a more harmonious image with your face.
It would be better face to face consultation.
Best Regards!

Eric M. Joseph, MD · Answer

During rhinoplasty surgery, were typically elevating a droopy nasal tip appearance, when necessary. When that occurs, Dairyn tends to be more visualization of the white portion of somebody's upper lip. I hope this helps. Sincerely, Dr. Joseph

Gary M. Horndeski, MD · Answer

At the time of rhinoplasty, the base of the nose, which is near the lip, will not change position so it will not lift the lip at all. From your photograph, it appears you would benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

A tip plastic wont raise you lip. However there is a procedure called a lip lift that you may consider to shorten your upper lip. It’s a very popular procedure these days. I’m not sure I would do it at the same time as the rhinoplasty however

William Portuese, MD · Answer

To make sure you're even a candidate for a rhinoplasty would require a full set of pictures from all angles, since the nose is three-dimensional, and rhinoplasty is performed three-dimensionally. Trying to raise your upper lip with a rhinoplasty procedure will simply not work because your muscles in your upper lip will pull the nasal tip downward.

Mats Hagstrom, MD (license on probation) · Answer

The method for racing the tip with rhinoplasty surgery is not by pulling on your skin.
It is by removing and changing cartilaginous structures.
This has very different effect on the titanium tissue.
Simulating the effect of surgery by pulling on the skin is not having surgery.
It’s apples and oranges.
There are a lot of examples where the same fallacy also happens.
For example, when people pull back on their skin simulating the effect of a facelift, their nasolabial fold typically looks much much better.
After a facelift, the fold doesn’t have the improvement. Why? During facelift surgery we typically put tension on a tissue layer called the SMAS that attaches to the deep structures under the nasolabial fold. in someways detention put on the SMAS actually deepens the fold. A facelift lift also puts tension on the skin, but the final outcome is very different than the initial appearance of the patient taking their hands and pulling back on the skin in front of their ears.
I recognize you’re not interested in a facelift, nor do you need one. It was simply an example of why pulling on the skin is not necessarily a good way of anticipating surgery outcomes.
If you’ve not had surgery, and are contemplating having a rhinoplasty I recommend focusing on finding the best provider.
Rhinoplasty surgery is fairly complex, and there is a fairly wide diversity of skill and experience among plastic surgeons for this type of work.
I recommend patience, have multiple in person consultations, preferably with highly experienced providers in your community who have proven track record with rhinoplasty surgery.
During each consultation, ask each provider to open up their portfolio and show you their entire collection of before and after pictures of previous patients who had similar facial characteristics to your own.
Bring facial pictures of yourself to use as reference during consultations.
An experienced plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients.
 Being shown a handful of pre-selected images, representing only the best results of a providers career may be insufficient to get a clear understanding of what average results look like in the hands of each provider, what your results are likely to look like or a good understanding of how many of these procedures that surgeon has actually done.
There’s no correct number of consultations needed to find the right provider.
The more consultations you scheduled the more likely you are to find the better provider.
The biggest mistake patients make is scheduling only one consultation which more or less eliminates the ability to choose the better provider.
Best,
Mats Hagstrom, MD

Why wouldn’t rhinoplasty raise my lip? (Photo)

Answers (6)

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