Best way to get rid of nose crease at the tip on the nose?

Pictures would help to confirm, but this sounds amenable to a closed tip rhinoplasty approach. This may cost $3000 to $4000 on the low end.Kenneth Hughes, MDLos Angeles, CA

The crease you are referring to may be from a plot between the two tip cartilages on the tip of your nose. Usually, this is seen with rounder tips. Repositioning the cartilages with or without changing their shape, depending on what you want, may be a permanent solution.Best,

The wonderful thing about plastic surgery and what attracted me to the field early on was all the tools at our disposal. It might be that a tip rhinoplasty would solve your problem. But if you have what I imagine, I would try a dermal filler such as Radiesse first. It lasts about 18 months and will likely totally correct the problem with one injection. How cool would that be?!! I've done it a number of times for very minor changes in the nose. There are agents that don't last that long. There is one agent that is actually permanent, Artefill. There are pros and cons to these so ask your surgeon. Just Google it. There are hundreds of references and great videos.

This could be remedied permanently with a tip rhinoplasty (surgery) or in some cases improved temporarily in the office with a filler injection treatment. Seek a consultation with an experienced rhinoplasty surgeon in either case. The choice comes down to longevity, cost and your thoughts on undergoing a surgical procedure. I hope this information is helpful.Stephen Weber MD, FACS

Without pictures I'm speculating but a vertical tip crease is frequently caused by a separation of the tip cartilages, a condition called a bifid tip. This can be corrected by a small procedure under local anesthesia.