Hello, I'm interested, how fixing so called "tension nose/lip" during the rhinoplasty is going to affect upper lip? will it change it's height (including the height of a vermilion part), shape, volume and etc?. in some cases patients mention that their lip started "hanging lower", looking flatter and covering more of their teeth. Overall, could you specify what should patient expect in such case? Thank you in advance.
Answer
Usually, performing rhinoplasty to improve a tension nose does not affect the upper lip much at all. Worst case scenario would be that an upper lip lift could be needed down the road, but I haven't had any patients ask about it. A well done rhinoplasty in this case makes a great improvement as the nose won't be pulling be out the lip any more. Be sure to see a rhinoplasty expert for consultation.
Dr. Andrew Miller, MD
Board Certified Plastic Surgeon
Answer
The anterior nasal spine is a piece of bone or cartilage that forms an obtuse angle between the bottom of the nose and upper lip. Though there is some upper lip weakness when this is removed, it does not lead to permanent immobility of the central upper lip. I hope this helps! Sincerely, Dr Joseph
Dr. Eric M. Joseph, MD
Board Certified Plastic Surgeon
Answer
Hello and thank you for your question. Unfortunately I am not able to view your photograph here. The key the fixing a tension tip is building strong support in the tip to prevent drooping later. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.
Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
Answer
A large hump on the nose can cause tightness if the upper lip. The lip will loosen up a bit after rhinoplasty if this is the case in your situation
Dr. Ronald J. Edelson, MD
Board Certified Plastic Surgeon
Answer
Hi! Excellent question. In tension nose deformity the upper lip and nasal cartilages are suspended off an overlynprojected septum. When correcting this with rhinoplasty there will be some degree of increased lip length due to releasing this tension but this will vary depending on the specific anatomy and generally should look better after surgery. I recommend a consultation with a rhinoplasty specialist. Best of luck, Dr. Ghazizadeh
Dr. Shabnam Ghazizadeh, MD
Board Certified Plastic Surgeon
