PS=Stellar credentials/39yrs.exp. Following rhinoplasty I'm still left with a small dented soft tissue triangle in nose tip.On frontal:left tip is concave & right tip is convex, although subtle,makes tip look asymmetrical.This surgery was a revision 14 months ago to deal with tip asymmetry only and this dent. Primary addressed upper dorsum. I have thin skin as well-caucasian.Afraid of making matters worse with a 3rd operation. Is a small amount of filler an option, giving me time to see if the right is swelling related.
Which dermal fillers are best to fill in a small dent in left soft tissue triangle on nose tip?
Doctor Answers 2
Microdroplet Silikon-1000 may be used by experienced physicians to correct a nasal-tip indentation following rhinoplasty Surgery
I would not recommend HA, CaHydroxlyAppetite, PMMA, or other large-particle fillers for your nose since these are associated with skin necrosis in a minority of patients.
My personal preference is to use Silikon-1000, an off-label filler for permanent results. There are no cases of necrosis or blindness from microdroplet silicone nasal injections.
Hope this helps you.
Filler or fat may be a reasonable option
A filler such a Juvaderm or Restylane or fat grafting may be a reasonable option to fine tune subtle contours. Fat grafting would have the advantage of being a permanent/long term solution. It can be done under local anesthesia as well and it can work quite well in one or two small sessions.
All the best,
Dr. Remus Repta
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