Different Lips After Rhinoplasty, What Can I Do?

Question

i had rhinoplasty a year ago.i ended up with a overly narrow tip.my main issue is that my lips have changed.one of my most beautiful feature.they look pushed out its hard to explain and no where near as pretty as they used to look.i told him i didnt want my tip raised and it doesnt look like he did raise the tip but he seemed to have shaved my collumellar too much is that what could be causing my lip to look different?i am so upset.i work as a model and feel now my career is over because of this

Thomas Fiala, MD, FACS, FRCSC · Answer

I'm sorry you are having problems with this.

	Most rhinoplasty work does not directly affect the lips, unless the area near the base of the columella is specifically worked on.  Can you post some before and after photos for us to look at ?

	If it's a surgical change, it should be fixable with a revision procedure.

Sam Speron, MD, FACS · Answer

Hi!

	Thank you for your question.

	It is difficult to provide you with an accurate diagnosis without a
	consultation or at least a photograph. On that note, revisional
	rhinoplasty is very much possible. I would recommend doing your
	research and consulting with a board certified plastic surgeon that
	has much experience in rhinoplasties.

	Good luck!

	Dr. Sam Speron

Philip Solomon, MD, FRCS · Answer

Without seeing photos its difficult to advise. In certain rhinoplasty procedures the nose is shortened while maintaining the rotation of the tip of the nose. This would result in a longer upper white lip but would not change the shape of the red lip. If the nasal spine was reduced which is done in certain rhinoplasty procedures this would have further changed the character of the upper lip. Speak to your surgeon to find out details of what was done. As a model you may be highly sensitive to the changes that have been made. Give it time before you consider touching your nose again.

Steven Wallach, MD · Answer

It is highly unusual for you to have changes in your lip after rhinoplasty. In many situations it is an illusion from the changes to the nose. Seeing pre-op photos and post-op results would be helpful.

Vincent P. Marin, MD, FACS · Answer

Without photos, there is no way to give you an opinion on your situation. However, it is unlikely that a rhinoplasty changed your lips. The nose needs to be in balance with the rest of your face, and it is possible that the balance is now off making other areas of your face more noticeable. Resubmit with a before and after photo to get a better answer.

Best of luck,

Vincent Marin, MD
San Diego Plastic Surgeon

Best of luck,

Vincent Marin, MD
	San Diego Plastic Surgeon

Different Lips After Rhinoplasty, What Can I Do?

Answers (5)