Indented/uneven supra alar crease post septorhinoplasty, options? (Photo)

Thank you for your question!



It is understandable that you are
concerned. Changes after rhinoplasties vary with
every patient and what you are experiencing is not uncommon. What is quite promising is the fact that you mentioned that your nose is "significantly less crooked after your procedure"!Nonetheless, it is important to keep in mind that it
is early to pass a final judgment. Usually, a year is required before formulating how
your nose will be, but longer with a thick skin. Even then, your nose will keep
shaping itself to complement your face for better results in the years to come.



My best recommendation at the moment is
to be patient, allow nature to take its course and edema subsides for better
results. There is no doubt that once the swelling resolves, more definition and
shape will be achieved and you should be happier with the results.



Also, it is important that you keep
communicating with your surgeon and work as a team together to achieve the best
results possible.



Congratulations on your surgery and remain positive!



Ali Sajjadian, MD FACS

It depends on which side you prefer but a small cartilage graft under local anesthesia can be done on the left alar depression. 

I agree with your surgeon to try HA fillers. The costs is not that expensive for a=n easy fix to your minor symmetry issues... Like $400... 

Since you are nine months out, you could plan for a secondary revision. Good luck with your choice.SA