How can the creases either side of my nose after primary rhinoplasty be addressed? (Photo)

Question

As you can see in the image I have dents/creases either side of my nose which I didn’t have before. How can these be addressed in my revision rhinoplasty? It’s making my tip look droopy. Would lateral crural strut grafts help address the creases? What are the disadvantages of adding lateral crural strut grafts? Why aren’t they done in primary rhinoplasties? Can this be corrected in a closed approach?

Eric M. Joseph, MD · Answer

It is normal to have super alar creases. When they become too deep after rhinoplasty surgery, we have found it very useful to fill these areas with microdroplet Silikon-1000 for permanent results. Procedures are performed with topical anesthetic and there is no downtime. Thank you for this question. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining revision rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. I don’t think lateral crural strut graft would be necessary for you. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

How can the creases either side of my nose after primary rhinoplasty be addressed? (Photo)

Answers (2)