Can rhinoplasty cause a lower smile line/change in lip position? (photos)

Yes, rhinoplasty may temporarily or permanently change your smile. You usually have to wait at least 6 months to see some improvement in the smile or even up to 18 months. Sometimes this may unfortunately be a permanent change.

Rhinoplasty and upper lip position during smile: in general, a standard rhinoplasty does not have a permanent effect on the amount of tooth “show“ during A smile. However most people do experience some swelling and stiffness of the upper lip in the early postop period, which could last from a few to several weeks. There is a muscle called the depressor Nasi septi which some surgeons deliberately cut in people with very down plunging tips to cause an elevation of the nasal tip. However even when this muscle is cut it off and re-attaches and regain its function. In order to have a permanent significant effect on the amount of tooth “show“ one must cut and remove a portion of the muscle. this is only done very rarely and would usually be discussed ahead of time with the patient if it is planned.

How long postoperative are you? We have seen tightness of the upper lip after rhinoplasty that can last for many months. To date, we have not operated on anyone who developed a demonstrable change in their smile by 12 months postoperative. Sit tight, and discuss with your surgeon. If there was no removal or cutting of your upper lip muscle, your smile may go back to normal. Hope this helps! Dr Joseph