How to get rid of this vertical line on one side of nose?

The vertical line you’re describing on one side of your nose, which becomes more noticeable with smiling or fatigue, is likely due to localized muscle activity or changes in skin elasticity with age. While “bunny lines” usually run horizontally across the upper nose, a vertical line can still result from repetitive muscle movement in that area or from natural skin folding over time.

Options to improve or soften this line include:

Botulinum toxin (Botox/Dysport): A small, precise injection can relax the muscle responsible for the crease and prevent it from deepening further.

Dermal fillers: If there is volume loss or a static crease, fillers can smooth and lift the area.

Skin tightening or resurfacing treatments: Microneedling, laser resurfacing, or radiofrequency can help improve the quality of the skin and soften fine lines.

Topical care: Retinoids and peptides support collagen production to help maintain skin strength over time.

Since it’s only on one side, it’s likely due to asymmetric muscle activity, which is quite common. A personalized evaluation is key to choosing the most effective approach.

If I had to guess, that bulge is just below an indentation that could be from an osteotomy performed during rhinoplasty surgery. If this is something that is bothering you significantly, please visit several reputable rhinoplasty specialist so you could see how to proceed moving forward. Thank you for your question. Sincerely, Dr. Joseph

What you’re noticing is likely due to the way your facial muscles are pulling on the skin in that area, especially when you smile. Over time, as the skin loses some of its elasticity, these lines can become more noticeable, especially in areas where the muscles are more active. This line could be from repetitive facial movements or a result of subtle volume loss in the skin as you age.
To reduce its appearance, a few options can work:
1. Botulinum toxin (like Botox): This can be used to relax the specific muscles causing the crease, making the line less visible when you smile or make other facial expressions.2. Dermal fillers: If the line is more due to a loss of volume or skin laxity, a small amount of filler could help smooth it out and give the area a more even appearance.3. Skin-tightening treatments: These non-invasive options, like radiofrequency or microneedling, can help improve skin elasticity and reduce the depth of the line over time.
It’s best to discuss your specific concerns with a practitioner who can assess your facial structure and recommend a targeted treatment plan.
Disclaimer: Please note that this information is for educational purposes only. There is no patient-doctor relationship established. Please consult your healthcare provider for individualized recommendations.