I had orbicularis oris muscle loosened, and it made my philtrum column greater after rhinoplasty. What can I do? (Photo)

Question

hello, due to my surgeon dont answer my questions,i dont know what exactly happened under my surgery, but i am unhappy with the result.Now my nose is wide in the mid part-dorsum+assymetric,+my right alar crease is seats higher and my ala is bumpy,also i had hump removal, and got spreader graft,also which really make me different looking person is my philtrum column is greater now,he did end of septum subluxation, wonder this can cause the orbicularis oris loosen?can u tell pls?thanks you

Rajan Uppal, MBBS, FRCS · Answer

You need to talk to your surgeon to get more support. Ask for the operation records. This may help you. You need to wait 6-12 months for the swelling to reduce and the internal scars to settle before making a final judgement. A wide philtrum is usually due to swelling rather than an issue with orbicularis. Try gentle massage with moisturising cream to soften the nose. All the issues you mention can be revised and corrected if needed. However they may resolve over time.

Stefan Mark Szczerba, MD · Answer

When work is done on the very end of the septum where it inserts into the nasal spine I can see how that muscle could loosen.  I have never actually heard this described as an effect of rhinoplasty.  However that should go back to normal over time.  Can you let us know how long it has been since your rhinoplasty?  That is critical in understanding what to advise you. Best Wishes!!

Robert H. Hunsaker, MD · Answer

without knowing how long ago you surgery was, it is hard to give meaningful input. IF...it has been over at least 3-4 months it looks as if MAYBE your nasal bones were not narrowed to match the other changes. The depressor nasii muscle can be injured/avulsed during rhinoplasty but more times than not this does not present a long term problem.

I had orbicularis oris muscle loosened, and it made my philtrum column greater after rhinoplasty. What can I do? (Photo)

Answers (3)

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Everything you need to know about Rhinoplasty

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I had orbicularis oris muscle loosened, and it made my philtrum column greater after rhinoplasty. What can I do? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.