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It's not clear from your photos what you are looking to achieve. A "supra-alar crease" is the indentation that normally occurs above your nostril margin. If that is the only source of concern, microdroplet Silikon-1000 may be considered.Rhinoplasty surgery may lead to deepening of supra-alar creases unless cartilage grafting is performed.Hope this helps you.Dr. Joseph
Your wished simulation is not technically feasible, since inside the alar wing there is nothing, no skeleton, it is sking outside and skin inside.
Everyone has a supra alar crease, some deeper and oriented differently than others. Your crease is a little vertically oriented, which can make the nasal tip look fuller.Yes, there are some techniques to change the direction and depth of this crease. How aggressive to be in doing this is where judgement must be exercised. Only with a full examination and consultation can we really know what is correct for you. I would encourage you to set up a consult to find the correct course.
Thank you for your question. Your concern about your nose is one that I hear very often from my patients. In short, yes we can refine the appearance of both the ala and the nostril rim. This is a very common maneuver. I would recommend, though, that you consult with a Facial Plastic Surgeon or General Plastic Surgeon, who specializes in Rhinoplasty. A surgeon will be able to discuss all options and give you a realistic expectation for surgery. I hope this helps, and answers your question.-David Gilpin
Without having performed your surgery or examining your nose in person, it's difficult to know how much smaller your tip will get. What I can tell you is that patients typically don't see the final results of their rhinoplasty for up to a year. Your surgery was just a few short weeks ago, so...
Your rhinoplasty postop pictures don´t show an exagerated result in my opinion. The bridge looks pleasingly straight and while the tip is still greatly swollen the nasolabial angle is discreetly open. You must remember that the swelling will go down at least another 20% in the next week, and ...
Defatting the nasal tip entails very carefully thinning some of the underlying soft tissue in the nasal tip. This must be done with extreme caution to prevent inadvertent compromise of the blood circulation to the nasal tip which can be detrimental. Please consult with a board...
