Horizontal crease when I smile, will a revision rhinoplasty help with it? (photos)
Doctor Answers 2
Revision rhinoplasty candidate
A full set of photographs are required in addition to an in-person examination for a very difficult revision rhinoplasty surgery. Revision rhinoplasty is one of the most difficult procedures to perform correctly in the entire field of cosmetic surgery, so choose your surgeon very wisely based on extensive experience with the procedure. The bridge can be built up with cartilage grafts, and the horizontal crease in the upper lip can probably be improved. It's also important to release the depressor septi ligament which pulls the tip down when smiling. For more information and many examples, please see the link and the video below
Horizontal Crease of Upper Lip after Rhinoplasty
A profile view would be helpful to determine the cause of this crease. Perhaps you have a hanging columella which is contributing to this. If your bridge is low this can be augmented with a revision procedure.