Why am I having such a hard time trying to smile after rhinoplasty + septoplasty + alarplasty? It has been 2 months post op

Depending on the extent of the surgery swelling in the soft tissues around the nose can influence facial expression. As swelling subsides this should return completely to normal.

It is common to have an abnormal smile after extensive work done on the nose.  This is partly from swelling and partly from the nerves and muscles being affected.  With time it comes back normal although it can take many months.  The best solution is to continue doing exercises of the lip such as forcing A smile30 times a day, puckering the lips 30 times a day.RegardsDr. J

We place a columellar shoring strut for additional tip support in the majority of our rhinoplasty patients. These struts are septal cartilage grafts that are placed from the tip down to the bone at the top of your upper lip. Most patients have a heavy upper lip with smiling for several weeks, but we have seen slight asymmetry for up to six months postoperative. In all likelihood, your smile will slowly improve and probably return to normal.Hope this helps.Dr Joseph

Hello,
Thank you for your question.
It is difficult to determine without a full assessment; however, this is most likely due to swelling. Note that swelling may
last several months.
I'd recommend booking a follow-up appointment
with your Board Certified Plastic Surgeon to discuss your concerns.
Take care.

Hello,Facial and nasal swelling 2 months after septorhinoplasty with alar surgery is perfectly normal.  Rhinoplasty, especially tip surgery can cause swelling to the muscles around the nose.  More swelling in the muscles at the base of the nose and upper lip is usually seen.  Altered lip movement with smiling is perfectly normal because of this and should resolve by 6 months postoperatively.Regards,

Swelling can contribute to your inability to smile so easily. This often gets better with time as the swelling subsides.