Horizontal crease when I smile, will a revision rhinoplasty help with it? (photos)

I want a revision rhinoplasty because my bridge is way too low after rhinoplasty. Can a revision help with this line as well? My lip moves just like before surgery but thevskin pushes against my nose and wrinkles up. (I live in the US but my surgery was in eastern Europe, my doctor so far did not write me back what was done- different world different rules)

Doctor Answers 3

Horizontal crease

Hi Kris, a revision rhinoplasty may be done to change the height of your nasal bridge.  It would be helpful to have a side view photo to help determine the improvement which would be optimal for you.  As for the crease on your lip, that can be a harder problem to correct, depending on the cause.  If a prominent strut is the cause, this may be reduced.  However, if it is due only to muscular activity, then you may wish to consider neuromodulator for improvement.

Portland Facial Plastic Surgeon
4.9 out of 5 stars 29 reviews

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

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

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.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

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.