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4 months post op and still can't smile (upper lip hangs low and covers teeth) - Major Septorhinoplasty

Nervous 913Feb 13, 2018
I had major septal reconstruction and rhinoplasty to remove the hump on my nose 4 months ago. My surgeon said I was VERY deviated and that my septum was completely to one side and a 5/200 case. My nose is as hard as a rock now. My smile has not shown much improvement in the last two months. He says this is due to stiffness and NOT because of nerve/muscle cutting and that this will clear in 1 yr. Is what he is saying true? I'm very depressed because I loved my smile.

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Samuel Lin, MD, FACS profile photo
Dr. Samuel Lin, MD, FACS
Board Certified Plastic Surgeon
4.9 | 203 Reviews
Answered on Feb 16, 2018
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Somyos Kunachak, MD - Account Suspended

Hi imranbaigrox, Deviation of the external nose with our without associated septal deviation is unlikely to be corrected by laser septoplasty, or septoplasty alone per se. Septoplasty mainly changes/affects the internal structure of the nose.

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James Chan, MD

Your nose is a challenge and I would recommend a personal consultation with either and ENT surgeon or a Facial plastic surgeon.  There are options and not all of them entail surgery.  Good luck!

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William Portuese, MD

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