Madison Rhinoplasty doctors

There is no reason not to consider the operation if your nose still bothers you.  The procedure has been proven safe in multiple studies and reports. And although the surgeon tends to focus even more than ever on restoring strength to the support mechanisms of the nasal structure, the final result can be subtle, natural, and still refined.  The skin tends to be the limiting factor at this point, since it might not have all the elasticity required to shrink wrap to the detailed cartilage modifications.   However that is something for you to discuss with your surgeon.  Good luck, go for it!

the nasal bones are fixed, and unlike cartilage, don't tend to warp spontaneously.  So I don't really know why your nasal structure changed.  I suspect that the depression you see is more likely from a depressed or partially avulsed upper lateral cartilage as it articulates or meets the nasal bone.  sometimes prior trauma will finally manifest like this, even if you did not pinpoint an exact event.

In any event, you have a number of options, which is why you need to see a rhinoplasty physician.  Then he or she can evaluate the etiology and give you options.  They might include a simple injection of filler to camoflage that depression, more permanent soft tissue fillers such as your own fat or fascia, or even a procedure involving precisely shaped and softened cartilage.  All those might camoflage your irregularity.

The other solution is clearly a rhinoplasty, which would not just camoflage what you see, but actually correct the underlying source.  Unilateral osteotomies are then the likely answer, but your septum or tip complex may also be crooked.  That's why you need to see someone to discuss your issue fully.

Small irregularities after rhinoplasty are common, both as part of normal healing or as part of the final result. They can be focal swellings, structural stepoffs from osteotomies, or even persistence of extra tissue.  But right now you are too early after surgery to be concerned.  Wait at least three to six months before considering such issues as significant, but make sure you do continue your dialogue with your surgeon throughout your recovery.  The explanation you received from your surgeon sounds very accurate and responsible for the high irregularities, and the lower sites/gashes sound like the access point used by your surgeon for osteomies.  Stay patient at this point. 

One final thought.  Post rhinoplasty contours are rarely completely smooth to the touch.  When you/we palpate the deep contours of bone and cartilage, we often feel stepoffs, bumps, edges.  That is truly not by itself important.  What is more important is that the overly skin and muscle camoflage these irregularities, such that you don't see any bumps.  If your nose looks smooth, that's the important thing.