Treatment for dark horizontal line on nose? (Photo)

Hello, I am a 25 year old female that has had this dark horizontal line across my nose for about 7 years now. Admittedly, it has become a lot worse within the past twelve or so months. Also, I do suffer from pet and seasonal allergies but I choose not to believe that there is no cure for this albeit my dermatologist said so. Also, when I wear makeup, the foundation or powder that I wear seems to sink into the crease. I have tried prescription retina A and 8% hydroquine. Please help!

Doctor Answers 6

Treatment of Depressed Dark Nasal Line

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It is best to analyze what characteristics of this line make it more noticeable.  Treatments to lighten dark pigmentation include topical bleaching creams, chemical peeling, or laser resurfacing (fraxel or pulsed dye lasers).  The depression itself may create a shadow effect, making the skin look darker.  Filling in the depressed line with a hyaluronic acid filler such as Restylane or Juvederm, may help minimize visibility for a year or two and create a smoother skin surface that looks better.  Any of these treatments are worth a try, easy to go through, and should help.

West Palm Beach Plastic Surgeon
5.0 out of 5 stars 32 reviews

Dark Crease on Nose

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It looks like there is an actual crease or indentation that could be addressed with either a Juvederm or some type of filler that would lessen it being so noticeable.  You may want to try this, it's not permanent but if you like the results you can continue with it.  Best of Luck to you! 

Treating Pigmentation on the Face

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There are many ways to treat pigmentation depending on the cause of the darkness.  If this is hormonally caused than Cosmelan is an extremely efficient way of instantly treating this pigmentation.  Sun damage can also be reversed with the Fraxel or mini-Fraxel (Clear and Brilliant).  Please consult a board certified dermatologist for the best treatment options.

"Allergic salute"

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Some patients will develop a horizontal line across the nose as a consequence of allergies.  The constant running off the nose makes some patients rub their nose constantly, the so-called "allergic salute."  This repetitive action can result in a horizontal crease from the rubbing.

The best treatment for this is to control the runny nose.  An allergist could help with that.

Once this repetitive action is stopped, the line should fade away.

Anne Marie McNeill, MD, PhD
Newport Beach Dermatologic Surgeon
5.0 out of 5 stars 1 review

Allergic salute treatment

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The horizontal line found on your nose is related to allergic rhinitis and is from routinely wiping your runny nose. Preventative treatments include allergy nose sprays and allergy medications that are best prescribed by your primary care doctor, your ENT, or your allergist. Once the crease has developed, hyaluronic acid fillers can help fill in the depressed skin, however extreme care must be taken using fillers in the nasal tip. There are a very high number of small blood vessels in the nose and improper filling techniques can lead to skin necrosis - a much worse problem than the horizontal crease. Pigmentary changes can be addressed with cover up or makeup as well as a number of topicals, such as hydroquinone. Laser treatments also can help build collagen and decrease hyperpigmented (darkened) areas.

Daniel J. Liebertz, MD
Kirkland Facial Plastic Surgeon

Treatment for dark horizontal line on nos

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Without on person examination I might recommend micro needling 3 sessions with Restylane HA filler. Fee $1,000. 

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.