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Hi. Yes, it is possible for rhinoplasty to define the supra alar crease. However, it is difficult to make a proper recommendation based on photographs. A personal evaluation of your nasal profile, including the thickness of your skin, is necessary to determine the aesthetic results that can be achieved.I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon with expertise in African American rhinoplasty. They will be able to assess your nose and determine the best course of action to achieve your desired results.
The supra-alar crease can be created with a closed approach, tip plasty. However there are many more options available to treat and African American Nose. African american rhinoplasty typically involves 4 different components. Some patients need them all, some only one or two. Here are the 4 components.1. Improvement of the bridge height with an implant.2. Narrowing of the wide upper nose (bony part) with osteotomies.3. Narrowing of the tip (Tip-plasty)4. Narrowing of the nostrils (Alarplasty)RegardsDr. J