I had the following procedures 3 years ago acc to post op report. open rhino, submucous resection, spreader grafts o dorsum bilateral, rasp the dorsum, mild tip reduction. My question is I have a horrible horizontal line above my smile and my tip seems to point down. I feel a strange hollowness in upper lip with a thick flesh right below the hanging columella. It looks like I now grimace and ruined a very nice smile. I am very depressed about it, please tell me how this may have happened.
I have seen others who have this crease above smile (grimace) as a result of rhinoplasty. Are there any long term solutions? I saw botox as a possible solution but am hoping for something permanant. What causes this to happen? I also have huge circles under my eyes now, but I have seen every sugeon says this is not from rhinoplasty so I am not going to open that can of worms, as I already know your replies. Thanks for your answers