Is there a way to reduce the appearance of alar crease? (Photo)

When a silicone implant is used during Asian rhinoplasty, the existing nasal framework is simply used as a foundation on which the implant is stacked on top to create augmentation and projection. Typically this will achieve additional projection and definition along the midline tip of the nose, but at the expense of the tip cartilage and alar being pressed posteriorly (down towards your face) causing the ala and nostrils to widen and flare. The widened and flared appearance of your ala can be improved with alar base modification, but ideally would be addressed with lateral crural tensioning, alar rim grafts AND alar base modification during Asian rhinoplasty.

Asians have weak tip cartilages. When the bridge and the tip are augmented, weak tip cartilages may be pinched or centralized, thus creating already existing crease more prominent. Solutions for this is strengthening the tip cartilage by ear or septal cartilage grafting or lowering the tip projection.