Hello, I had a columella strut placed in my nose a year ago. Since then there is a crease between my upper lip and my nose when I smile which looks very unnatural. My surgeon said the tip would drop if he removed the columella strut so I have to accept the smile crease unless I want the tip to drop. Do you agree? Is there any method that can get rid of that crease and keep the tip upwards at the same time? Thank you. Angelina
Columella Strut and Crease
Doctor Answers 5
I can suggest 2 options for columellar crease
Since it has been a full year, you can consider having the strut modified (made smaller) surgically and not lose tip support; it is a minimal procedure under local anesthesia usually. You can also consider a filler such as Restylane or Juvederm for temporary improvement; Silikon 1000 is also possible for permanent correction if your surgeon is comfortable doing this.
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Columellar Strut and Crease
Without examination I am speculating, but if the strut is too long or located inferiorly it could cause a crease when you smile. Ask your surgeon about the strut position, especially if you can feel it. Fillers may hide the crease when you smile, but will the area be full when you're not smiling?
I'm not aware of columella-struts resulting in upper lip creases.
Columella-struts are nearly routinely used in the tips of my patients during rhinoplasty surgery. I agree with your surgeon that they lead to a more durable tip that would be less likely to droop with time. Feel free to email your photo along with a description, and I'll be happy to share my thoughts with you.
Regards from NJ.
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Collumelar Strut and Lip Crease
I doubt that the strut is causing the upper lip crease although I cant be 100% sure without seeing it. However, you can consider doing a filler such as silicone or radiesse to eliminate the crease.