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Left with a Crease and Dent on Side of my Nose After Revision, Ive Had 4 2nd Opinions and No One Knows How to Fix It! (photo)

asked 7 months ago by fm8179740 in Bakersfield, CA
Latest answer by Francis R. Palmer, III, MD
Question viewed 328 times
Tags: crease, dents, multiple, options, pinched

Ive had 3 revisions, in the last one the dr left me with what look like he pinched the side of my nose and stayed that way. There is a slight dent on it also, ive gone for second opinions and no one has an answer for me. Please help!

7 answers to Left with a Crease and Dent on Side of my Nose After Revision, Ive Had 4 2nd Opinions and No One Knows How to Fix It! (photo)

+1

Left with a Crease and Dent on Side of my Nose After Revision, Ive Had 4 2nd Opinions and No One Knows How to Fix It!

It's difficult to see from a single photo but indentations, from Rhinoplasty and Revision Rhinoplasty are only caused by three things, IMHO. An unven dent occurs from cartilage removal or dissolution. The more Rhinoplasties you have the more tissue, including cartilage is removed. Removal of subcutaneous scar tissue can sometimes cause temorary indentations. If all the tissues between the outer nasal skin and the inner mucosa have been removed, these two... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

+1

Easy fix with injectables for minor nasal irregularities.

Overall, your nasal profile is very nice, although I would have preferred to see a very slight rotation upward of the very tip of the nose. Fillers such as Juvaderm or Radiesse can be used to fill in the depresssions, and if pleased, you may select a permanent solution with silicon gel. I do not see a cause for another revision surgery, but to be fair, you must be evaluated by an experienced nasal surgeon before you do anything. Laser treatment can also help remove any small reddish... more
Maurice P. Sherman, MD

Del Mar Facial Plastic Surgeon

www.drsherman.com

+1

A well-performed Injectable Filler procedure may be employed to improve the indentation in your nose after Rhinoplasty Surgery.

I read your concern and reviewed your photo which is blurry: I can't tell if the indentation your referring to is your deep supra-alar crease, or another issue along the right side of your lower bridge. Since you have had 4 nasal surgeries, you should leave any further surgery to your nose as a last resort. In my practice, nasal indentations may be filled with Silikon-1000, an off-label filler for permanent results. I hope this is helpful for you. Dr. Joseph more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon
+1

Crease & Dent in Nose Post Rhinoplasty

Without an examination it is difficult to determine if your dent and crease are secondary to a problem with your skin and/or the underlying cartilage. I'm sorry you're having difficulty establishing a diagnosis, but it will be necessary to seek another consultation.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Dent in nose

Difficult to say from this photo. Most depressions can be filled with cartilage grafts. You may want to consider a trial with some filler before having further surgery. If you like it then you can proceed with a more permanent solution. If you have skin atrophy this is more dificult and a dermal or fascia graft may be necessary.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

Nasal Dent

Hi, It looks like you may have lost cartilage under that area of the skin as well as some atrophy of the skin. Cartilage can be added to elevate the depression but dealing with the skin atrophy will be a little more difficult. Depending on what if looks like in person, you may need to have a local flap if indicated. However, its possible that the skin atrophy is untreatable. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon
+1

Revision Rhinoplasty

Sorry to hear about your experience. It is hard to say based on the photo you provided but generally dents in the nose can be improved. As far as the pinched appearance, it depends on what was performed to the underlying anatomical structures. Please consult with a board certified specialist who can best address your concerns.
Kimberly Lee, MD

Beverly Hills Facial Plastic Surgeon

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