Dr. Kim answers… “After rhinoplasty, a few things can happen which can affect your smile. | Rhinoplasty Specialist, Written by Dr. David Kim on February 19, 2010. I felt like I could throw myself into the career I wanted to chase after, without being held back by the stigma I had tied to my nose. The good, the bad and the ugly on rhinoplasty recovery. Stop drinking alcohol and do not take aspirin or aspirin compounds until 1 week after the surgery. Contact Dr. Hovsepian in his Beverly Hills office to schedule a consultation for your rhinoplasty and look forward to the positive results from your surgery and all the compliments to come. The swelling, combined with the presence of your cast may make a yawn or smile feel more noticeable than usual but will not necessarily ruin anything. Rhinoplasty is a cosmetic surgery that is performed to repair nasal fractures or to change the appearance of the nose for aesthetic reasons. This major surgery deserves at least 10 days of rest and recovery. ”, “In some cases, a surgeon may place material between your nostrils in order to provide more support to the tip of the nose. The motivation for rhinoplasty may be to change the appearance of the nose, improve breathing or both.The upper portion of the structure of the nose is bone, and the lower portion is cartilage. In general, your nose is going to be swollen and impacted for 2-3 weeks following surgery, and you can likely expect your smile to be affected by that swelling during that time. Non-surgical rhinoplasty (more literally known as 'nose filler') is an aesthetic treatment that's recently risen in popularity with women and men alike. Sometime if extensive work is done in this area, the muscles responsible for pulling the uppper lip up are temporarily weakened, a condition which will also return to normal over months. I did have a lot of tip work and columella work done. A common fear for many rhinoplasty candidates is if their smile will change as a result of their rhinoplasty. Before your surgery, it is extremely important that you begin preparing your body to help the healing process. After a rhinoplasty, there is a lot of swelling in the nasal area. Rhinoplasty will increase rather than decrease airflow. When patients animate excessively after rhinoplasty surgery and have a wide grinned smile, they are putting unwanted tension on the bottom portion of their nose. After the surgery, my confidence skyrocketed. Keep in mind, that the time can vary from patient to patient depending on the extent of the surgery and other factors. Why is it like this, is it normal? One patient asked the question, “When will my smile return to normal after my Rhinoplasty? Overall this is a very unusual situation, but if it does occur it can easily be corrected with a minor touch up procedure.”, “The other thing to keep in mind is that if the tip of the nose is elevated, it can result in the appearance of a long upper lip after rhinoplasty. Secret #3: Nobody talks about what happens when you can’t close your mouth (since that’s the only way to keep breathing). This may take anywhere from 2 to 4 weeks. The muscles in the lip and nose affected by the surgery will heal and you should expect everything to return back to normal. If you … A procedure to correct a bump in the bridge of the nose may not affect those muscles, so when you have your Consultation with Dr. Hovsepian, he will review the procedure and discuss how the surgery not only affects your nose, but also surrounding areas such as the eyes, cheeks, and lips. Some patients are surprised to find that following a rhinoplasty their smile seems different. Dr. Kim’s approach at Virtual Consultations Click Here to Learn More. Talk with your surgeon about whether rhinoplasty is appropriate for you and what it can achieve.… There are muscles in your nose that are connected to the muscles in your upper lip. You may have stitches or staples in your cuts (incisions). Sutures themselves do not have an odor, but periodically they can attract crust which can cause an odor. You can't exercise right after rhinoplasty. It can be done to improve your appearance, fix a birth defect, or help you breathe better. For instance, when most of the work has been done around the base of the nose, or bottom of the columella, the resulting swelling can cause a temporary drop in the top lip. Patients have expressed concern that they will look “tight” or “unnatural” but that is not a typical issue following a rhinoplasty. How Bad is it? October 15, 2020 Written by: Michael Menachof Categories: Rhinoplasty. Especially for patients over 50, plastic surgeons may require rigorous health assessments and will discuss the risks and benefits of rhinoplasty before agreeing to carry out the procedure. From whatever I can see, there is a disconnect between your lip and nose at muscular level and hence your lip is not getting elevated as much it should when you smile. Bad genes can ruin even the most skillful surgery, especially when combined with weak cartilage and poor skin. Katie Holmes Before and after Plastic Surgery. The aim of this study was to evaluate the effect of open rhinoplasty on tooth show and the smile line. After a rhinoplasty procedure, don’t be surprised if your smile is temporarily affected by post-operative swelling. You don’t necessarily have to avoid smiling during that time either. I’ve been recovering pretty quickly and I haven’t been having any problems really, other than this:  I’ve noticed that after my surgery, my smile changed. When you approached your orthodontist about braces or Invisalign, you did it because you want a straighter, prettier smile. A rare complication is this graft slipping forward and down toward the lip. Rhinoplasty can change bone, cartilage, skin or all three. Can smiling ruin rhinoplasty? As the swollen columella heals, which can take a few months, the lip will return to a normal position. Rhinoplasty For Your Smile. Now, whenever I smile, my top lip doesn’t go up as much as it use to and the top teeth barely show. Beverly Hills: 310-999-1003 421 North Rodeo Drive, 2nd Floor, Suite T-13, Beverly Hills, CA 90210. It may look and feel unnatural, but that is not unexpected. Can rhinoplasty surgery affect your smile. If work was done at the base of your nose or at the bottom of the columella (skin bridge between the nostrils), swelling in the area can affect the lip and cause it to drop a bit temporarily. Don’t be afraid to smile post rhinoplasty. However, in some patients it can actually take up to a year for swelling to fully subside. How long after rhinoplasty did you have your upper lip and smile back ? Since a rhinoplasty restores balance and harmony to the face, it would certainly be a valid concern that in correcting a hooked nose that you hate it may affect the appearance of your smile. Crusting isn’t the only cause of unpleasant smells. If there was reshaping of the nasal tip and/or base, which is common in my San Diego rhinoplasty practice , this type of unwanted tension can detract from the final surgical outcome. Stop taking any vitamins or herbs such as Gingko Biloba, and any hormone or birth control pills. Basically, it sucks. My upper lip completely curls under when I try to smile, making It disappear. The effect is temporary and your smile will return to normal after the initial swelling has dissipated. One concern I hear quite often from my rhinoplasty patients relates to smiling during the early recovery process. Generally, the average recovery time is about two to three weeks. These depend largely on the type, and extent of work that was performed. If the problem does not get better by one year’s time, you should be re-evaluated by your surgeon. Although laughing after rhinoplasty seems like a rather natural, unavoidable thing to do, (particularly if someone cracks a good joke), experts generally agree that while occasional smiling or laughing will probably not compromise the results of your surgery, doing your best to limit facial animation, especially in the […] When you compare her photo, you will obviously see that she has had some changes, especially in the nose area. Is it OK to smile after rhinoplasty? Every time you smile or laugh, the tiny muscles which connect the tip of your nose to your upper lip descend a little.. How […] David W Kim M.D. What Is Nasal Tip Rotation? Rhinoplasty is surgery to reshape your nose. Rhinoplasty is a very safe surgery in general, but it does carry slight risks, which tend to increase with the patient’s age. Although it’s generally agreed among facial plastic surgeons that occasional laughing, yawning, or smiling is not detrimental to your nose while it heals from rhinoplasty surgery, it is advisable to try to limit excessive facial animation, particularly in the first few weeks following your procedure. Often this can be a cartailge graft which serves as a collumn to support the tip. My smile looks not only forced but very, very strange. The amount of swelling patients experience depends in part of the type of rhinoplasty performed, the extent of work done, and most importantly the technique of the surgeon. She is known to have a perfect appearance on TV, but of late she is being rumored to have undergone plastic surgery to get a better look. All other factors being equal, a young individual, with a smooth clear complexion, firm nasal cartilage, forgiving skin and good general health will have the best prognosis for a favorable rhinoplasty … The answer is a resounding NO if you have your rhinoplasty performed with the surgeons at Beverly Hills Profiles. If work was done at the base of your nose or at the bottom of the columella (skin bridge between the nostrils), swelling in the area can affect the lip and cause it to drop a bit temporarily. No matter what type of rhinoplasty you had done, you will have sutures. Since a rhinoplasty restores balance and harmony to the face, it would certainly be a valid concern that in correcting a hooked nose that you hate it may affect the appearance of your smile. Oh, and since you can’t wear glasses after the surgery, you might not be able to see either, depending on how bad your vision is. Occasional laughing or yawning will likely not damage your nose as it heals, but the less you do it, the better–and try not to laugh too hard. Liquid rhinoplasty is the nonsurgical option to traditional rhinoplasty. Because the nose is a focal point of the face, rhinoplasty surgery in Beverly Hills has been, and will continue to be, one of the most popular plastic surgery procedures performed. A revision procedure is best performed after the nose is completely healed from the original surgery, which “occurs at the six-month point and preferably one year after … Scar Tissue in Rhinoplasty: some is normal, a lot is not. Decrease any smoking habits, as patients who smoke have a slower healing time and can actually lose skin during the healing process. You want more confidence, and you want to fix what you perceive are imperfections in your mouth. | Website designed & developed by Ceatus Media Group, LLC. Luckily, this is temporary and your smile should return back to normal as swelling subsides. Do’s: Do give yourself a good cushion of time away from work or school to recover. Rhinoplasty, otherwise known as a nose surgery, is a cosmetic surgical procedure for reconstructing and altering the shape of the nose to make it more pleasing to the eye. First, it should be noted that any changes to the upper lip movement is typically associated with work on the tip. It’s used to temporarily address issues like a dorsal hump (small bump), a … Let’s start you out on the right foot with a general list of do’s and don’ts after rhinoplasty recovery courtesy board-certified plastic surgeon, Dr. Robert Tornambe. This may need a minor surgical correction by anchoring your lip muscles to base of your nose. During the study, Chicago plastic surgeons Eric Cerrati and Steven Dayan examined before and after photos of 20 patients who underwent rhinoplasty, and … There are muscles in your nose that are connected to the muscles in your upper lip. Crusting is absolutely normal 3 weeks after your procedure and could cause a bad smell for up to two months after. So no aerobic exercises or strenuous sports. It is quite normal for many rhinoplasty patients to experience a ‘stiff upper lip’ in the early weeks to months of recovery. Dr. Menachof, MD, FACS has performed thousands of facial plastic surgery procedures in over 20 years of experience. Hope this helps. This guide is to give you a general understanding of what to expect post-surgery after Rhinoplasty surgery. He has been recognized as a Fellow by multiple academies, named one of America’s Top Facial Plastic Surgeons continually since 2003 and is featured in multiple national … The nose is packed after surgery to minimize bleeding. After two weeks your appearance should improve, and after a month you will look even better. Rhinoplasty. Rhinoplasty (RIE-no-plas-tee) is surgery that changes the shape of the nose. Dr. Nassif I’m 1 month post op from a revision rhinoplasty and I cannot naturally smile all the way. You’ll have lots of chances to flash that natural smile of yours. It should not cause the lip to actually drop down and cover your teeth more, however.”, “Don’t worry, your smile will come back…”, David W. Kim M.D. Resculpting the bridge or straightening a … Rhinoplasty, commonly referred to as a “nose job,” is surgery to change the shape of your nose by modifying the bone or cartilage. It’s not unreasonable, and your orthodontist was likely very happy to help you choose a solution to fix your smile. Rhinoplasty recovery includes proper aftercare to help minimize the risk of infection. If so, how long before my smile returns to normal?”, “After rhinoplasty, a few things can happen which can affect your smile. Stitches inside your nose and mouth will usually dissolve on their own. Open rhinoplasty is an esthetic surgical technique that is becoming increasingly popular, and can affect the nose and upper lip compartments. My next appointment is a week away. I am a post-op for Rhinoplasty. There are a few reasons why your smile may seem different after a Toronto Rhinoplasty. So depending on the type of rhinoplasty you are having, it may be part of the procedure to release or free up those muscles. Katie Holmes is a former star of Dawson’s TV series. Do you have a dynamic tip? This is especially true if I have done a lot of work near the columella region of the nose. Is it bad to laugh after rhinoplasty?