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First choice: Injection of filler material to smooth the skin in this area. Slight overcorrection advised. Second choice, if there is scar beneath the dent: Subcutaneous undermining to divide scar, then filler and/or dermal graft. Third choice: Direct excision of the divot, and primary multiple layer advancement flap closure under magnification.
It is difficult to completely assess the area in the photo you submitted. If the the pit diameter is less than 2mm and the skin at the bottom of the pit contains the majority of normal skin elements I would recommend a punch incision of the pit. When the circular incision heals it will then push the center of the pit outward. If you just cut it out and suture the resulting wound closed I do not think you will be happy with the result. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.
Plain x rays are typically of little value in diagnosing nasal fractures. CT scans are not much better unless there is significant displacement or comminution. History of trauma, nasal bleeding, visible displacement and clinical exam are more accurate for diagnosis.
From the photos, IMHO, the asymmetry of the nostrils are a direct reflection of a deflected anterior septm to the left combined with tip cartilage asymmetries (the left tip is lower than the right making the left nostril more horizontally oriented). The indentations along the dorsum...
When you choose a plastic surgery for a rhinoplasty, it is important that you are comfortable with their judgement and the quality of the work they do. I have had patients like you who have expressed concern over the possibility that their nose will be made too short. It is a common fear but I...
The brutal truth is you can never be sure. Even when a physician's office obtains preauthorization for a surgery it alwasy comes written that preauthorization is not a guarantee of payment. Health insurance companies can refuse to pay even if authorized and sometimes employ...
A good number of rhinoplasties performed by an active and busy rhinoplasty surgeon is in the order of 200 or more per year. This level of experience enables a surgeon to offer rhinoplasty expertise. In addition to making sure that the surgeon has performed thousands of rhinoplasty...
The term "minimally invasive rhinoplasty" is more of a marketing gimmick than an actual procedure. Nose surgery is always invasive by it's very nature. The amount of surgery necessary to obtain the desired results will vary from patient to patient. The more surgery you...
