Had my septum straightened and tip thinned at the same time. I was 19 and happy with the results until I was 25. The left side began to recede, revision was done by the same physician and I was happy for 6 years. Now, at 35, the pinch is back and its leaning left (especially when I smile). I’m prone to scar tissue. He recommended fillers this time around. I'm frustrated and would like to figure out if this is the right option and/or if I should find another surgeon based on the results so far.
Rhinoplasty Pinching Only to the Left 6 Years After Revision. Are Fillers Appropriate? (photo)
Doctor Answers 4
Pinching of nose
An injectable filler will give you a temporary fix for several months. This may work out nicely for you.
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Nasal Valve Collapse
Your pinching is also called nasal valve collapse. You may notice that you have trouble breathing as well. Filler are NOT a good option in this case. Consider having a revision rhinoplasty with Nasal valve reconstruction.
Rhinoplasty Pinching Only to the Left 6 Years After Revision. Are Fillers Appropriate?
If your surgeon is an experienced rhinoplasty surgeon who performs hundreds a year, there may not be a lot that anyone can do. Having said that, I do not think a filler will help with the deviation. I would approach this through another rhinoplasty. Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
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Avoid fillers in the alar rim after rhinoplasty surgery.
I am sorry that you are having issues with your nose. It looks like a scar contracture has occured in the left ala. This is repairable by an experienced Rhinoplasty surgeon. I do not like fillers in this area as the skin is very tight and can easily be damaged by attempts to inject a filler. The worst complication I have seen after a rhinoplasty was a patient that had filler injected here and it caused necrosis and skin loss. Please be careful. Consult an expert about your options to permenantly fix your problem, most likely with a cartilage graft from the ear.
I hope this helps