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Dents and grafts showing 15 years after revision rhinoplasty - how can I camouflage this? (photos)

coloradogirl8Apr 17, 2023
I had my revision rhinoplasty 15 years ago to fix multiple issues from my primary rhinoplasty (pinched tip, bossae, hanging columella). Septal cartilege grafts we’rused. I’ve been happy with my results for many years. However over the past few years I’ve noticed some asymmetries in the tip of my nose, a dent on the right side and graft outlines showing. Is there any way to camouflage this? I’ve read fillers are a bad idea. Is it due to thinning skin or cartilage resorption?

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Eric M. Joseph, MD

Based on your photos, you appear to have thin nasal skin and some slight irregularities related to the lower 1/3 of your nose. Depending on your examination, microdroplet Silikon-1000 injections maybe considered for improving nostril symmetry and for adding volume to small depressions that may...

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Selcuk Inanli, MD

Hello! Thank you for your question.From the photos your nose looks crooked and it looks like the graft on the tip mooved. It is showing too much and I am pretty sure it is very hard tip. I recommend you a revision surgery, you will most probably need a cartilage reconstruction.Best regards!

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Ajaya Kashyap, MD

Thank you for your query. The pictures on the left, I am assuming are before the procedure in which the nose looks smaller. The cartilages, that are added are usually added in the tip and the sides should not look bulky from the front. You should discuss your concerns with your Plastic surgeon...

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