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In the first several weeks following rhinoplasty, the nose often looks "too upturned". This is because the edema (swelling) and the post-operative cast/splint can cause the nasolabial to be increased. This usually decreases in the first several weeks after surgery. After that time, the amount that the tip will tilt backdown is limited.
Yes, your nasolabial angle can get more acute after your rhinoplasty. This can happen when you interrupt forces that hold your nasal tip up. The exposure that you do can also interrupt forces that hold your tip up. Trimming the top of the tip cartilages and interrupting the connection between the tip cartilages and the lateral cartilages higher in your nose can also cause your tip to descend and decrease the angle. Also, interrupting the connection of your tip with your septum can also contribute to this drop in your tip and affect the nasolabial angle. The way to prevent this is less trimming of the tip cartilages and the usage of sutures to shape the tip. You also have to make sure to reconstruct the forces that hold the tip up through septal sutures that connect the tip with the septum. A graft in the area under your tip that extends from your tip to the top of your upper lip can increase the nasolabial angle and help maintain it.Consulting a Board Certified Facial Plastic Surgeon would be something that I would recommend. We specialize in the face and are highly qualified to help you with this.
The naso-labial angle always looks excessive immediately after surgery. I think the main cause is swelling of the upper lip. I always warn my patients pre-operatively to avoid anxiety after the procedure.
Cartilage grafts frequently used in rhinoplasty to provide more stable, and longer lasting results. A cartilage graft called a columellar strut is often placed in the column of tissue between the nostrils regardless of whether the rhinoplasty is performed open or closed. This type of graft is...
The effect of removing your spint will depend on the techniques that your surgeon used for your nasal surgery. You should schedule and appointment with your surgeon so that he or she can assess your nose and make sure that no negative consequences will arise from removing your splint early. The...
Although there are many experienced rhinoplasty surgeons outside the US (and Cuba may not be an exception), having plastic surgery abroad is hardly something, I would recommend. We all see patients who had surgeries abroad, usually with questions, problems or complications, not even to talk...
Hey There Delilah, You need to speak with your surgeon regarding whether his technique will affect your upper lip. At your pre-operative visit, you should be asked to sign an informed consent for surgery. Make sure that you are clear about the risks and complications of your surgery, including...
It is impossible to tell without an examination whether the hump will be permanent or whether it is due to swelling at this point. You should wait at least 3 months after the closed reduction to assess the situation. If it is getting better at that point then wait longer. If it is not then...
Hi Selida, You want a subtle rhinoplasty. It is possible in many cases to just rasp the lateral nasal bone prominence and shaving down any lateral cartilaginous wing to narrow your nose without breaking the nasal bones. In other cases, lateral osteotomies (incising the nasal bones) are all that...
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