Does my crooked smile have anything to do with the way the tip of the nose sways to the right with my smile?

Question

I would like to correct my crooked tip. I've never had any nasal trauma but my bridge is off center and the right side of my nose is collapsing in. Ryan gosling also had a nasal tip that swayed to the right side as well. And he also has a crooked smile. Is my smile bending the tip of the nose to the right or is it because my bridge is off to the left, or is it because i have a deviated septum and the right side is collapsing in? Can surgery permanently fix this or will my smile bring that sway back?

Kenneth Hughes, MD · Answer

The commissures of the mouth are not affected by the nose or vice versa.  The central lip can sometimes be affected by a muscle connected to the septum.  Find a plastic surgeon with ELITE credentials who performs hundreds  
of rhinoplasties and rhinoplasty revisions each year.  Then look at the 
 plastic surgeon's website before and after photo galleries to get a   
sense of who can deliver the results. 	Kenneth Hughes, MD Los Angeles, CA

William Portuese, MD · Answer

Asymmetry is very common in the  face  and does  include the nose. When a strong  upper lip muscle is present, this can deviate the tip of the nose to the stronger side. To make the nose more symmetrical, osteotomies are usually required of the nasal bones, a spreader graft is placed under the concave upper lateral cartilage and tip suturing techniques of the lower lateral cartilages are all employed to make the nose look more symmetrical. A columellar plasty is performed when the columella is crooked as well.  Please see the link  and the video below to our  rhinoplasty photo  gallery for many examples similar to your own.

Gregory Park, MD - Account Suspended · Answer

No one is born with perfect symmetry. As you can see in your photograph, one side of your face is shorter than the other. You can also see that your nose deviates to the shorter side when you smile. So, to answer your question, your crooked tip is associated with your crooked smile. You can certainly undergo surgery to make your nose a bit straighter. But, there are facial muscle dynamics that can not be changed with surgery. If your nose is straight when you are not smiling, but crooked when you smile, your nose will continue to pull to the shorter side when you smile after surgery. So, would it be worth it to you to undergo surgery? Thank you for sharing your photo and questions. Best wishes.

Does my crooked smile have anything to do with the way the tip of the nose sways to the right with my smile?

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Does my crooked smile have anything to do with the way the tip of the nose sways to the right with my smile?

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.