Silikon vs Rhinoplasty Revision for pinched tip/alar crease?

Rhinoplasty left me with deep supra alar creases that pinch towards the tip of nose. I have think skin/weak cartilage that could not take the scar contacture even though I had no tip work. Things I've noticed online: 1. Revision for this ends to make the nose look much fatter, while injections just fill in the grooves and actually look better imo 2. I know about the risks of permanent filler and they are scary but the risks/cost of rhinoplasty revision seem scary as well. Which is better?

Doctor Answers 2

Microdroplet Silikon-1000 treatments may be considered for filling deep supra-alar creases after rhinoplasty surgery.

Microdroplet silicone injections have a long history of safety, precision and permanence when used conservatively for nonsurgical rhinoplastic revisions. A twenty year experience from 1964 - 1984 was elegantly described by Dr Richard Webster.

In our experience, filling supraalar creases with microdroplet Silikon-1000 may be considered depending on your examination. Hope this helps you. Dr Joseph

West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews

Non Surgical Rhinoplasty With Silicone or Fillers Like Voluma, Restylane

Please post photos for further evaluation. For a non-surgical intervention, fillers can be used to sculpt the nose. I tend to use a lot of Voluma for this area and achieve great results. I do not like permanent fillers here as long term there can be issues, but Voluma will last approximately two years and will slowly resolve. Please see an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

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