Distorted Nose when Smiling After Rhinoplasty

A year ago, I had a Rhinoplasty done. Ever since then, whenever I smile, my nostrils go way up and my nose stretches to the side, and it all causes my nose to look big, long and distorted. What can be done? Thank you!

Doctor Answers 4

Muscles of facial animation!

Your smile muscles are pulling on your nose. This is probably a normal occurence that has only become more noticeable after the rhinoplasty - not a likely cause of your complaint. Your doctor can usually adjust or cut the muscle to the nostril. He or she can also narrow your nostrils. See your doctor to discuss all options.

New York Plastic Surgeon
4.8 out of 5 stars 33 reviews

Distorted Nose When Smiling After Rhinoplasty...Revision Time

Hi LB2009,

Photographs of your nose (frontal and profile, smiling and not smiling) would be very helpful in answering your question.

In that your nose bothers you, you should discuss this with your rhinoplasty surgeon, and/or seek consultation with a surgeon experienced in revision rhinoplasty.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

See a revision rhinoplasty specialist

This is not a rare complaint about this problem. It is caused by strong muscles that go from the cheek to the nostril. These muscles pull the cheek and nostril out and the tip of the nose down. See an experienced rhinoplasty surgeon in your area to evaluate your problem.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 34 reviews

Rhinoplasty is a static operation

There is not much that can be done for an animated nose upon smiling. The rhinoplasty operation is a static operation and it is not done for dynamic action with respect to the orbicularis oris muscle pulling on the nose itself. There is usually nothing that can be done about this however, one could potentially try to put a couple of drops of Botox in the area of the nasofacial junction to see if this could help reduce the strength of the smile muscle.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 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.