Unable to Smile Propely at Almost 7 Weeks After Rhinoplasty

Hi Beatriz,

Keep an upper lip about this.  Your surgeon knows best.  It will likely take a few more weeks for your upper lip muscles to reattach and for your smile to return.  Good luck and be well, hope that you enjoy your new nose.

Dr. P

You should expect some (usually very minor) changes in the upper lip as de-rotation of the nose can relieve tension in that area.  As the nasolabial angle changes to a less obtuse position, the lip can drop very slightly.  In most patients, this is not noticeable, however, in some it can be seen.  This is usually accentuated by the swelling in this area immediately after surgery.

As with all rhinoplasty, healing time is expected in order to allow for the swelling to resolve.  As the swelling and firmness fade, you may still notice some difference, but this should not stop you from accepting and enjoying your new nose if your surgeon has achieved your goals.

Of course, you should also address this with your surgeon, as he/she will be able to further explain precisely what was done.