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Indented/uneven supra alar crease post septorhinoplasty, options? (Photo)

9 months post op. My nose is still crooked, though significantly less after my procedure. My left supra alar crease is much more indented than the right. I was wondering if piercing the right side would indent it a bit more to make it more symmetrical, or if it would only draw attention to the unevenness. My surgeon recommended a filler like juvederm, but it being temporary AND expensive has me hesitant. Any thoughts on the best way to correct the unevenness would be much appreciated! Thank you!

Doctor Answers (3)

Indented/uneven supra alar crease post septorhinoplasty, options?

I agree with your surgeon to try HA fillers. The costs is not that expensive for a=n easy fix to your minor symmetry issues... Like $400... 

Miami Plastic Surgeon
4.5 out of 5 stars 61 reviews

Rhinoplasty asymmetry.

It depends on which side you prefer but a small cartilage graft under local anesthesia can be done on the left alar depression. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Secondary rhinoplasty

Since you are nine months out, you could plan for a secondary revision. Good luck with your choice.

Stefan Rene Adair, MD
Sarasota Plastic Surgeon

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