Will a rhinoplasty fix my smile? Or do I need a lip lift? Please help (Photo)

Question

I think I have a slightly deviated septum, & quite a droopy tip of my nose. I have quite a long columella & bulbous tip. When I smile with my teeth, it is uneven, & my top lip doesn’t rise much, my nose tip angles down too. I really believe that my nose is the problem & by having rhinoplasty to remove some cartilage, lift my tip, shorten my nose & columella… it will lift my upper lip. Because when I smile & lift the tip of my nose with my finger - it corrects my smile?

Zoran Potparic, MD · Answer

There is no doubt, based on these photos, that you are a good candidate for rhinoplasty. It also appears that you may be a candidate for lip lift, including muscle resection. It is best not to combine these two procedures and, in our experience, do rhinoplasty first followed with lip lift 3-6 months later. Lip lift is done in local anesthesia. Hope this helps. Good luck.

Randal Haworth, MD, FACS · Answer

Hello !

It looks like you have a deviated septum. Your nose shape can be corrected with a rhinoplasty.

Concerning the issue you describe with your upper lip, I personally think you would benefit from a OOS lip lift (procedure I invented, which is an upgrade of the traditional lip lift and includes less scarring) that can be combined with a lower V-Y plasty (to bring more balance to your pair of lips).

Best of luck !

Randal Haworth

Eric M. Joseph, MD · Answer

After rhinoplasty surgery to elevate a bulbous droopy tip, people typically see more of the white part of their upper lip with smiling. Generally we are not fans of lip lift surgery because it only addresses the central portion of the upper lip and it can also lead to visible scarring. Hope this helps! Dr Joseph

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. You appear to be a candidate for septorhinoplasty and can combine this procedure with a lip lift to optimize your results. During septorhinoplasty, your deviated septum can be addressed and the tip can be redefined for a feminine, natural-looking result. A lip lift can also be performed to reveal more of your upper lip and vermillion border for a fuller appearance. Combining these procedures into one surgery can shorten recovery time and produce more dramatic results.
It's important to note that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to discuss your concerns and aesthetic goals with you to help you decide on the best course of action.

Gurkan Kayabasoglu, MD · Answer

If you combine both procedures, you can get rid of this problem. These two procedures can be done easily in a single session. Just find yourself an experienced and specialised surgeon. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. Best regards.

Selcuk Inanli, MD · Answer

Hello! First of all thank you for your question.I have evaluated your case regarding the information you provided and your photos.
You have a severe nasal axis deviation to the right, bulbous, droopy tip, hanging lobule and right lip is a bit down while smiling, and upper lip distance is long. You can have a septorhinoplasty operation and upper lip lift to fix those problems as much as possible.

Ronald J. Edelson, MD · Answer

I would avoid the lip lift. I’ve seen plenty that look pretty weird. Right now it’s a fad and I’ve seen enough unhappy patients from it ( other surgeons’ work). Rhinoplasty yes. Skip the lip lift

Robert Ciardullo, MD · Answer

Rhinoplasty and smile: A rhinoplasty can be performed which could reduce the size of your bulbous tip and elevate the droopy tip. The rhinoplasty however will not raise the position of the lip or create more teeth show. In fact in the early days after rhinoplasty the upper lip may be swollen and stiff and less mobile when smiling. There are procedures to lift the upper lip but they involve scarring which at times could be significant, and many surgeons do not recommend such procedures.

Thomas Spalla, MD · Answer

If you are concerned with your nasal appearance, this should be the reason why you alter the nose's appearance, not to change your smile. Lifting your tip and taking some of the focus from your nose will bring out the smile, but don't think of it as a significant functional change to your smile. 
Given the relatively long upper lip, and that it'll appear longer after your tip is elevated, you may wish to consider a lip lift. 
During the rhinoplasty, the depressor muscle to the nasal tip can be cut which helps to minimize the forceful tip drop with smiling. This could also be treated with Botox (or similar agent) prior to any time of rhinoplasty to give you an idea of your smile without the nasal tip being pulled downwards.

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