Can a rhinoplasty cause nerve damage that permanently changes your smile?

Dear HappyEmojii, Thank you for your question. Patients who have temporary altered sensation of the upper lip, always returns in our office. If you consult with a Board Certified Operating Surgeon they can review the potential risks of the procedure with you. Best of luck. 

Hi Happy,I have been performing rhinoplasty for over 35 years.  I have never had a patient with permanent nerve damage to the upper lip.  Patients may have a temporary weakness of the the upper lip muscles and an inability to raise their lip when smiling.  This side effect usually resolves within a few days to a few weeks.  It is to be expected when the lip muscles are freed from the nose or the bone of the nasal floor is taken when correcting a deviated septum.  The most important aspect of your rhinoplasty is making sure that you choose your surgeon very carefully based on their skill, knowledge, experience, and natural artistic vision.  I highly recommend Ari Hyman, MD for your rhinoplasty.  Good luck and be well.Dr. P

Neither sensory or motor innervation to the upper lip should not be affected by a rhinoplasty, even one that was performed poorly. Lip elevation immediately after a rhinoplasty may be diminished due to swelling, but that always resolves.