Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed? (Photo)

Question

I currently am unable to show any teeth when i smile because it seems as though the anatomy of my anterior nasal bone prevents the middle of my upper lip from rising enough show my teeth. The left and right side of my lip will rise but not the middle at all. I can feel the bone protruding especially when feeling it from inside my mouth in front/above my upper teeth. I have a previous history of nasal trauma, which resulted in a mild deviated septum. When I pull my nose up and then try to lift my lip to show teeth, I am able to. These are shown in the pictures. Appreciate all feedback.

Scott Trimas, MD · Answer

A long nose with a long nasal septum or nasal spine can affect  your smile as that may distract downward by either the pull of the depressor septal nasi muscle on the anterior or front septum. In addition, the nasal spine can also overly project in that area making the nose to appear downward and affect the smile. I would recommend you see a board certified facial plastic surgeon in your area as they have the most expertise in both the internal and external anatomy of your nose.

Luis A. Mejia, MD · Answer

hello thank you for your question and provided information as well;..based in your question its difficulted evaluate your case with this angle of a picture, its recommended to get a consultation in personal with a plastic surgeon.

Zoran Potparic, MD · Answer

Underlying anatomy of nose and lip does affect the way we smile. This is the case with prominent nasal spine, caudal portion of septum, presence or absence of nasal depressor muscle(s) within columella, etc. Only after detailed in person evaluation surgeon can tell you how much of this can be improved after elective rhinoplasty. Good luck.

David C. Pearson, MD · Answer

Simply reducing the nasal spine may not help with your smile because it can disrupt the depressor septi nasi muscles as well. That could even make your smile worse. An in-office evaluation where we could feel those areas and see them in motion is really the only way to know what techniques might be best for you. You may also want to consult with a cosmetic dentist for ideas.All the best,--DCPPearson Facial Plastic Surgery®

Thomas Trevisani, MD · Answer

The teeth show can be improved with multiple different techniques. The nasal spine may need to be reduced. You'll need an in person exam

Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed? (Photo)

Answers (7)

Answer: Reduction of the nasal spine for smiling

Answer: Reduction of the nasal spine for smiling

Answer: Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed?

Answer: Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed?

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Everything you need to know about Rhinoplasty

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Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed? (Photo)

Answers (7)

Answer: Reduction of the nasal spine for smiling

Answer: Reduction of the nasal spine for smiling

Answer: Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed?

Answer: Can a rhinoplasty improve my ability to smile if the anterior nasal spine is reshaped and bone removed?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.