Is it possible to reduce alar crease by rhinoplasty? (Photo)

It's not clear from your photos what you are looking to achieve. A "supra-alar crease" is the indentation that normally occurs above your nostril margin. If that is the only source of concern, microdroplet Silikon-1000 may be considered.Rhinoplasty surgery may lead to deepening of supra-alar creases unless cartilage grafting is performed.Hope this helps you.Dr. Joseph

Everyone has a supra alar crease, some deeper and oriented differently than others.  Your crease is a little vertically oriented, which can make the nasal tip look fuller.Yes, there are some techniques to change the direction and depth of this crease. How aggressive to be in doing this is where judgement must be exercised. Only with a full examination and consultation can we really know what is correct for you. I would encourage you to set up a consult to find the correct course.

Thank you for your question.  Your concern about your nose is one that I hear very often from my patients.  In short, yes we can refine the appearance of both the ala and the nostril rim.  This is a very common maneuver.  I would recommend, though, that you consult with a Facial Plastic Surgeon or General Plastic Surgeon, who specializes in Rhinoplasty.  A surgeon will be able to discuss all options and give you a realistic expectation for surgery.  I hope this helps, and answers your question.-David Gilpin