Will my smile come back? (Photo)

Hi there! If rib cartilage is used, there's always a risk of resistance with the excursion of the smile. Sometimes, this can be mitigated if the caudal aspect of the graft is made less prominent. As part of the pre-op discussion, if tip work is performed with rib cartilage, there's a risk of this happening that I always mention. If it's still within 1 year of your surgery, I would continue to give it time. If no resolution, then a revision may be necessary to trim the graft or replace it all together. Hope this helps!