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Deep Creases Under Nose 7 Months Post Rhinoplasty?

I had rhinoplasty over 7 months ago and still have a deep crease over my lip when I smile and another one directly under my nose at rest. Filler doesn't work! The columella and nasal spine are low ( lower than my nose) and look like they inhibit the area above the lip. Can these be shortened? I look like I am sneering and am self conscience now. I don't have a picture, sorry.

Doctor Answers (3)

Crease under nose

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Although 7 months may not be long enough for full healing you could try something simple: have your PS inject a small amount of botox/dysport into the muscles under your nose and see if that is the culprit. If so, then a relatively simple procedure may alleviate the problem.

Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Revision Rhinoplasty Required

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Dear PC,

Although final results are established at 12 months after the rhinoplasty, your description is of an aberration that should be addressed with the utmost delicacy by a board certified surgeon of extensive experience in the field of rhinoplasty.


I do not think that without photos and physical examination I can provide you with a solid solution. So, I would like to encourage to schedule a consultation for a full assessment.

Thank you for your inquiry and the best of luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 148 reviews


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The small muscles at the base of your nose may be the culprits!  A rhinoplasty approach that address the nasolabial anatomy is in order.

Robert Shumway, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

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