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Will my smile come back? (Photo)

mel1745Nov 12, 2022
The only thing that really scares me is that my smile has changed forever. When i smile i can feel the columella push my upper lip down, and my upper teeth are not completely visible. Could this be because of swelling? Or is it the columella placement? If so can this be reversed? I have rib cartilage in my nosetip and columella

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. David M. Kowalczyk, MD, MBA, FACS
Board Certified Facial Plastic Surgeon
Answered on Nov 16, 2022
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David M. Kowalczyk, MD, MBA, FACS

Good Morning! I'm sorry that you're experiencing trouble with your rhinoplasty outcome. Have you talked to your surgeon about this? That would be a good starting point. Rib cartilage is very strong and stiff. As part of my counseling, it's always discussed that the nose will feel stiffer...

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Hong Ryul Jin, MD

There must be reasons that the surgeon asked you to wear it. You can choose a smaller one to fit your nostril. It will not make your nostril round even though you wear it for a long time.

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David M. Kowalczyk, MD, MBA, FACS

Hi! If you're tip is still stiff this far out from surgery, it could be from scar tissue or from the type of grafting utilized. Rib cartilage, for example, is strong and stiff. It's useful, though, because it helps to resist changes to the nose such as drooping over time. The lack of mobility of...

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