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

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.

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.

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.

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®

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

You need upper lip lift to achieve your goal. Your nasal spine is already insufficient and any removals will leave you worse off

You have asked some very good questions that relates to your overall anatomy.  I can't answer your questions without examining you fully.  This may still not guarantee that you will be able to see your teeth on a full smile even if surgery were to be performed.  Shortening the nose slightly, reducing the length of the columella, reducing the nasal spine, even shortening the upper lip may need to be considered, but no final result allowing a better smile could be guaranteed.  A full evaluation would be helpful, however.  Choose a  highly qualified Plastic Surgeon in your area, expect to be seen, and only then might your questions be answered properly.Good luck to you.Frank Rieger M.D.  Tampa Plastic Surgeon