What are these indentations/holes in the skin that I have gotten after septorhinoplasty called and are they fixable?

Question

I previously posted about this, but I've noticed dents or indentations on the sides of my nose, right above my nostrils. They are particularly visible in front-view photos and have become the most bothersome aspect of my post-septorhinoplarty results which was almost 13 months ago. Can these be corrected during a revision? Is it possible? I've attached my post-op report and current photos of my nose for reference. I did not have this issue before my surgery

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, the indents are due to poor collapse of the lateral crus. This can be fixed in a revision with placement of alar batten grafts and appropriate tensioning of the tip. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Eric M. Joseph, MD · Answer

People have indentations in their nasal tip in the area that you're concerned about to varying degrees with or without rhinoplasty surgery. When you had your nasal tip narrow during rhinoplasty surgery, these creases became evident. Surgically, these may be repaired with crural extension grafts. Alternatively, microdroplet Silikon-1000 injections may be considered for permanently filling them in. Thank you for your question. Sincerely, Dr Joseph

What are these indentations/holes in the skin that I have gotten after septorhinoplasty called and are they fixable?

Answers (2)