Is reduction of supra alar crease possible? (photo)

Question

Hi, I have a very deep and distinct supra alar crease, specially visible from the profile. Is it possible to get this "removed" or totally reduced in visibility during a rhinoplasty? One surgeon mentioned this is not possible to "change" this as it's genetics? Is this correct? (Please find attached photo). Thanks in advance!

Zoran Potparic, MD · Answer

It is not very frequent request but I do not see any reason why deep allar crease can not be corrected; you will have to accept the scar as a replacement, however. Good luck.

Thuy-Van Tina Ho, MD · Answer

Dear samleee,
Thank you for your question. It is difficult to make an accurate assessment and recommendations based on photographs alone. I recommend you seek an in-person consultation with a facial plastic surgeon or plastic surgeon that specializes in rhinoplasty who can perform a thorough examination and recommend the best surgical approach to meet your goals. Depending on the thickness of your skin and orientation and shape of your lower lateral cartilages, there are possible maneuvers to help minimize the supra alar crease if your surgeon agrees it is feasible and will improve the overall appearance of your nose.

Ken Stewart, MD, FRCS Plast · Answer

Everybody has a crease or groove above their alar. Its entirely normal anatomy.
Whilst softening it by placing grafts deeper maybe possible it is not necessarily desireable. Id be careful what you wish for.
In sone patients sebaceous thickening of the skin can contribute to accentuating the crease. It is not possible to make that diagnosis from photographs

Mehdi Sina, MD · Answer

Hi,The alar crease can be softened by repositioning or supporting the lower lateral cartilages with grafts. It is unnatural for it to be completely eliminated but in cases where it is very deep, it can certainly be softened.Best,

Is reduction of supra alar crease possible? (photo)

Answers (4)

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