Upper lip crease after rhinoplasty? (Photos)

Question

I had an opened rhinoplasty 10 months ago. I now have an upper lip crease that I never had before. Is this permanent?

Tanveer Janjua, MD · Answer

Surgery on the nose changes the dynamics of the muscles involving the upper lip as well.  The new direction of movement can lead to a line or a crease.  With time the line can become soft but in certain cases becomes permanent and can only improve with help of filler injections.RegardsDr. J

Geoffrey W. Tobias, MD, FACS · Answer

Your question and photos are excellent because they show a very important side effect of rhinoplasty, which most commonly can result from an open rhinoplasty. The reason for this is that during surgery a number of stiff cartilage columella struts may be sutured to the bottom of the septum in order to help change the shape of the tip. This can cause the tip to become extremely stiff and hard. So when you smile and the upper lip moves upward against an immovable tip, an unsightly crease or fold can develop within the lip. Although this occurs occasionally, it may resolve with time, but can become permanent and difficult to correct. You must be aware that it is a possible complication of certain types of rhinoplasty and ask your surgeon about it before you go under the knife.

David L. Cangello, MD, FACS · Answer

Thank you for your question. Unfortunately it's difficult to see what crease you are referring to. Perhaps you could post a photo of your smile before your surgery and a clearer after photo to demonstrate the change? Would be happy to try to help you if I have a better understanding of what has changed. Best of luck.

Michael M. Omidi, MD, FACS · Answer

Thank you for the question! It is rather difficult to fully evaluate your situation without an in-person exam. You upper lip crease is likely due to the muscle contraction that can be easily corrected. Sometimes plastic surgeons use fillers or even Botox to eliminate such creases. I'd recommend you to consult with your surgeon to determine which option works best for you. An in-person exam with a board certified plastic surgeon is always the best way to fully assess your needs and address your concerns. Best of luck!

Upper lip crease after rhinoplasty? (Photos)

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