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

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

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 195 reviews


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 12 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.