Can the crease line on my nose be corrected? Should it be done before or after rhinoplasty? (photos)

Question

I hope to undergo rhinoplasty in the near future, but I think I won't be fully satisfied with the results unless I also take care of the horizontal line on my nose. Not sure where it came from (maybe from wiping my nose too hard over the years?), but I'm wondering: (1) Will rhinoplasty can fix it (2) If not, what can correct it? Botox? Other fillers? (3) Should it be fixed before or after rhinoplasty? Thanks for the help!

John Layke, DO, FACS · Answer

After reviewing your photos, the crease that you are referring to is due to the visible cartilage under the skin.  I believe that you are an excellent candidate for rhinoplasty in which the cartilage will be reshaped in order to create a more aesthetically-pleasing nose.  I recommend seeking out a Board-Certified plastic surgeon who will accurately examine your nose, create a simulation that will allow you to see what your nose COULD look like after surgery, and formulate a plan tailored to your wishes. Best wishes!

Vito C. Quatela, MD · Answer

Based on your photos, the crease you are referring to appears to be related to one of the normal cartilage containing structures in your nose. This means that you could be a good candidate for rhinoplasty to correc tthis problem during the procedure. It's best to consult with a board certified surgeon in person to create a proceure plan that is best for you.

John Michael Thomassen, MD · Answer

The superior margin of your lower lateral cartilage is responsible for this crease.  I would recommend correcting it as part of your rhinoplasty.  Any other camouflaging procedures would likely not treat it properly.

Thomas J. Walker, MD, FACS · Answer

The "crease" in the nose you are referring to is due to an underlying cartilage deformity (of the lower lateral cartilage). A rhinoplasty operation can address this deformity and correct it while maintaining or even improving you nasal breathing as well as your nasal appearance overall. I would stay away from any injectables (fillers, Botox, etc.) in your nose as they only temporarily camouflage things without addressing the underlying problem. I suggest you see a rhinoplasty specialist for a consultation. Best wishes.

Afshin Parhiscar, MD · Answer

Dear kit-walkerIf you are referring to the raised area on the left side of your nose, that is consistent with cartilage and should be easily corrected at the time of your rhinoplasty. Seek consultation from more than one surgeon and look for experienced surgeons certified by the American Board of Plastic Surgery.

Julian Gordon, MD · Answer

The crease you see is caused by enlarged and misshaped cartilage in your nasal tip. You appear to be a great candidate for a rhinoplasty. During the surgery, the cartilages can be trimmed and reshape to give the appearance you desire. I I would suggest a consultation with a board certified plastic surgeon to get more details on your specific anatomy (physical exam) and options. Bring some photos of noses you find attractive. That is always helpful to your surgeon. Good luck. You should have a great result.

Luis E. Redondo, MD · Answer

This can all be corrected in a single Rhinoplasty procedure. I, like a few other colleagues offer online consultations where you send us your photos and we can estimate the cost. Find a Board Certified Plastic Surgeon and discuss what will be the proper treatment to achieve the result you desires.Regards,Dr. Luis Redondo

William Portuese, MD · Answer

Photographs demonstrate asymmetrical lower lateral cartilages. One side is concave, and the other side is convex. A combination of cartilage removal and cartilage grafting techniques can attempt to make use nasal tip cartilages more symmetrical. For  several examples, please see the link below

Michael L. Schwartz, MD · Answer

The lines and creases you are seeing are demarcations of the shape and borders of your tip cartilages. This can only be effectively changed and corrected with rhinoplasty. The tip cartilages need to be reshaped and repositioned to alter the shadow they produce. Fillers would be a poor solution to this.

Steven J. Smith, MD · Answer

The crease you are referring to appears to be due to prominent lower lateral cartilages. A rhinoplasty procedure could reshape the cartilages and correct the contour deformities while improving the overall appearance.Fillers could be used postoperatively if needed, for any residual minor contour concerns.

Can the crease line on my nose be corrected? Should it be done before or after rhinoplasty? (photos)

Answers (13)

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