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For a crease in the columella, what non-surgical treatment options as available in Singapore?

Age: 16 - 29
Plastic Surgery Aesthetic Medicine
DOCTOR’S ANSWER (1)

If you had a previous rhinoplasty, or any nasal surgery or trauma, the crease is most likely due to a broken cartilage/graft/implant. In such cases, the correct solution is to repair it surgically.

Non-surgical camouflage using fillers is a possible but tenuous option, as it can cause unsightly bulking up of the columella. In addition, it may be risky for skin necrosis as the columella skin is quite thin, and fairly high-pressure injection will probably be required. 

Could it be a skin scar from a previous rhinoplasty? In that case, you can consider laser treatments, although it is usually inadequate for a surgical scar. 

On the other hand, if you are perhaps referring to a crease forming at the junction between the columella and upper lip when you smile, it could be due to the way you smile. You could simply "re-learn" how to smile to avoid the crease appearing, or even consider some careful botox injection to the area.

Occasionally it could also be due to a misshapen anterior nasal spine, in which case surgery is probably your best bet.


Dr Tan Kar Su‎
MBBS, MRCS, MMed, FAMS

THE RHINOPLASTY CLINIC ENT FACIAL PLASTICS
38 IRRAWADDY ROAD
Mount Elizabeth Novena Specialist Centre
#04 - 35 Singapore 329563

119 views 25 Jun 2019
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Disclaimer: Any answers provided are for general informational purposes only and is not a substitute for professional medical advice. If you think you may have a medical emergency, call your doctor immediately. Always seek the advice of your doctor before starting or changing treatment.

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