Dip in Nose After Rhinoplasty. What's a Permanent Solution?

asked 1 year ago by jeff716a
Latest answer by Rod J. Rohrich, MD
Question viewed 424 times
Tags: male, dip, options, permanent

3 months after surgery, all swelling gone & has been for a month. When swelling went away, a dip showed in my nose. Dip size is not changing. Went to DR today, he suggested Radiesse, I asked if this was permanent, he said, "After 4 years with a few touch ups, we'll see, it should stimulate collagen production." But I've never heard of it as a permanent solution. I want PERMANENT. Should I let him inject? Or should I ask for a permanent surgical solution at the 6-12 month mark?

6 answers to Dip in Nose After Rhinoplasty. What's a Permanent Solution?

Nasal Depression After Rhinoplasty

In general, having a significant nasal dorsal depression after rhinoplasty is not normal. However, if it persists up to 6-9 months one can do a temporary hyaluronic acid filler, which is safe on the dorsum of the nose. I would highly recommend not doing a particular long-lasting filler like Radiesse and certainly not a permanent filler as they do not do well long-term. A hyaluronic acid filler will temporize until you are about a year out and can consider doing a revision rhinoplasty to fill... more

Rod J. Rohrich, MD
Dallas Plastic Surgeon

Rhinoplasty

Radiesse is made of calcium hydroxyalpatite. It is temporary. I would wait and see how it looks after several months. As the tip swelling continues to go down the dip may reduce in size.

David E. Kim, MD
Beverly Hills Plastic Surgeon

Solution to dip on bridge of nose

I agree that it's a bit earlier to proceed with a permanent solution to your problem. Your nose will continue to evolve over the next several months so I think waiting until then would be helpful. Although you haven't noticed any change to your nasal swelling lately, the nasal skin with shrink wrap over time. A filler injection with radiesse or restylane is temporary. Some surgeons use silicone off-label, but I don't have experience in this. If the problem persists a onlay... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Permanent Solution for Dip in Nose Post-Rhinoplasty

Sadly, no the Radiesse is a temporary filler that will last about 1 year and it does not create collagen formation. The dip is from an over-resection of the dorsal cartilage during your Rhinoplasty. I'm not a fan of silicone injections except in rare cases, such as this where there's a slight post Rhinoplasty irregularity that can be filled in easilly with a silicone injection using a micro-droplet technique. The other solution would be a Revision Rhinoplasty to place... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Please be careful about ANY permanent filler

Wait First! With all due respect to my silicone-friendly colleague, I took oral board examinations for both ENT surgery and for Plastic Surgery, and I'd hazard a guess that I would have immediately failed both of these examinations on the spot if I would have suggested using silicone injections to the nose, especially just 3 months after surgery! First, I'd wait. 3 months is early in the healing process for rhinoplasty and too early in my opinion for judging your results or... more

Nick Slenkovich, MD
Denver Plastic Surgeon

www.ColoradoPlasticSurgery.com