Weird marks or lines when I smile post-rhinoplasty - how can I fix this? (Photos)

Way to have your question answered would be to either visit your surgeon, or another reputable rhinoplasty specialist for an examination, so you could see what might be best for you moving forward. I wish I could be better assistance for you. Sincerely, Dr Joseph

I’d be interested to know if those spots are hard. The previous surgeon may have put cartilage grafts in there or it may be from injectable fillers. Only way to know is to be examined in person

Hello and thank you for your question. Based on your photographs, Botox injections may possibly be of some help in that area. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello! Thank you for your question.
As far as I can understand from your question, if you can send your photos from side and front profile we can make a correct evaluation.
It would be better face to face consultation.
Best Regards!

Hello! Thank you for your question. It’s common for some patients to notice new lines or marks around the nasolabial folds and upper lip after rhinoplasty, especially when smiling. These lines can appear due to subtle changes in the nasal tip or columella support, scar tissue, or changes in skin tension after surgery. This can sometimes give a “plastic-y” appearance, even years after your procedure.
The good news is that these changes are often treatable. Many patients benefit from soft tissue fillers, which can smooth dynamic lines and restore a more natural movement when smiling. Neurotoxin such as Botox or Dysport can also be utilized to limit contraction of the upper lip elevators. In some cases, a minor revision rhinoplasty or fat grafting may be recommended to adjust the nasal tip or restore volume if structural changes are contributing to the marks.
An in-person examination is important to determine what would best correct this issue. Because the exact cause can vary from person to person, the best next step is to either see your original surgeon or seek out an experienced rhinoplasty surgeon. They can assess how your nose and surrounding tissues move and create a tailored plan to improve the appearance of these post-rhinoplasty lines while keeping results natural.
I hope that answers your question. Best of luck!
Justin Buro, M.D.