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My son has a hypopigmented, transverse nasal crease. It is slightly raised. He is extremely self-conscious about the white line on his nose. He is mindful to never rub his nose upwards and controls his seasonal allergies with Allegra but the line is still there. He saw a dermatologist who said there is nothing they can do. What are his options?

This is an unfortunate situation for your son. Nasal creases can appear when you rub your nose upward, often. This can occur in patients with nasal allergies. I would recommend getting a second opinion from a dermatologist to see if there are options for skin therapy to help minimize the nasal crease. Seeing a plastic surgeon may be helpful too. They can discuss other options to help with your son’s nasal crease. An immediate option may be to use concealer.

Allergy, Nasal Allergy (Rhinitis)
Answered by

John M. James, MD, is a board-certified allergist. He is also President of Food Allergy Consulting and Education Services, LLC. He has worked as a medical specialist in the field of allergy, asthma, and immunology for over 30 years. Dr. James received his bachelor’s degree from the University of Arkansas and his Doctor of Medicine degree from the University of Tennessee. He is board certified by the American Board of Allergy and Immunology.

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