Nose Looks Different when I Smile. 6 Weeks Post, Will This Subside?

I had closed rhinoplasty 6 weeks ago to remove a bump on my bridge. I love my new profile and I also like the way it looks from the front when I'm not smiling. When I smile, the nose doesn't really move and the nostrils just flare out. My nostrils didn't flare out when smiling before surgery. Will this subside when the swelling goes down completely? My nose doesn't look swollen but it feels hard.

Doctor Answers 5

Smile different

This is swelling. Many of my patients complain about this early after surgery. I'm sure this is a temporary disturbing thing . Don't worry you'll be smiling soon

Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Nose Looks Different when I Smile. 6 Weeks Post, Will This Subside?

 It's not unusual for post Rhinoplasty patients to have an altered smile from swelling in the nose.  Give yourself several months for this to return to normal.  

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

Different Smile 6 Weeks Post Rhinoplasty

The change in your smile is secondary to swelling in the base of your nose and your upper lip. The firmness you feel is also caused by the swelling, which is temporary. Ultimately you will enjoy your new nose and a normal smile.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

The flaring nose

Without before and after photos and photos with and without smiling, it's difficult to fully address your problem.  It is really difficult to have the problem that you mention after a closed rhinoplasty to fix only a dorsal nasal hump.  Flaring of the nostrils is something that may have drawn your attention since your dorsal hump is now gone.  True nostril flaring with smiling usually relates to procedures that involve the base of your nose, whereby the distance between the outer base of your nose and the columella has been altered.  The hardness certainly sounds like swelling and should subside over several months.

Andre Panossian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 4 reviews



It is to soon to tell at this time. Six weeks post Rhinoplasty you still have swelling and the upper lip area is still affected so it is not uncommon to fill some stiffness in movement. Likely this will dissipate shortly. Have some patience during this beginning recovery phase and see your surgeon often to help keep your mind at ease. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 208 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.