Can the Supra-alar Crease Be Completely Erased? (photo)

I had revision rhinoplasty to fix a very botched first nose job. Whilst the surgeon did improve the appearance, I'm still disappointment with the result. The main thing I wanted to achieve was complete erasure of the supra-alar crease. The first 10 days after my rhinoplasty I was ecstatic because I had my dream nose. However when the swelling went down the crease reappeared. The photo imaging shows the removal of the supra-alar crease and decrease of the side wall. Could this result be achieved?

Doctor Answers (2)

Alar crease


It is possible to remove the supra alar crease completely but this will not give you a natural looking nose.  Most patients who are self-conscious about their nose, go around looking at other people's noses; the thing to remember here is noses look good in context to people's faces.  When looking at most noses, you will almost always see a supra alar crease.  Consult with your plastic surgeon and see if this would be a natural look for you.

Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 30 reviews

Can the Supra-alar Crease Be Completely Erased?


     There are a couple of maneuvers that could be utilized to help obliterate those areas, but doing this may not give the most natural result.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 237 reviews

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