Will my Smile Ever Go Back to Normal After Rip Graft Nose Revision? when Will I See my Final Results?

 I have performed Rhinoplasty and Revision Rhinoplasty, for over 25 years, and don't use rib grafts for Rhinoplasty.  The cartilage tends to dissolve unevenly, over the years, making the nose appear asymmetric.  The healing typically lasts about 12 months when grafting material is required to the dorsum or tip areas.

 The smile should return to normal as long as the columellar area was not extensively dissected over the upper lip.

Healing from revision nose reshaping takes months, usually about 12-18 to be more precise. Early in the post-operative period, it is absolutely the norm  to have swelling of not just the nose, but the upper lip and mid face too. This causes temporary alterations in the way your face moves, or at least in the perception of how they are moving. Your smile, for instance, can feel weird since the lips and cheeks are a bit swollen.  Typically, this is NOT something friends or family members even notice, but IS something patients themselves commonly comment on.  This will likely resolve in about 2-3 months as the swelling resolves further. Rest assured, your smile will feel normal again. As for the remainder of your healing, this will progress steadily over the next several months.  Things like rib graft warping are usually late findings so it is too early to tell.  The stiff feeling will also relax and soften. Be patient, and check in with your surgeon throughout the healing process.