7 years after my rhinoplasty - how can I fix small dents on bridge and make my nose not blend so much with my forehead? (Photos)

Hello and thank you for your question.

First off, it's important to recognize that complications happen to ALL surgeons, and any surgeon that does not have complications or any suboptimal results is either not operating enough or is lying.

Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a subtle profile reduction to streamline the transition from your forehead to the bridge of your nose. If your nasal tip is a concern, a tip refinement can also be performed. Without an anterior view (from the front), I am unable to comment on any other changes that can be addressed. The profile reduction would be performed with rasping of the nasal bone, cutting of the cartilage, and osteotomies to reduce the risk of an "open roof" defect. Any indents along the bridge can be addressed with a fascial onlay and/or morselized bone graft. Of note, if you have any breathing difficulty, a septoplasty or other maneuvers may benefit you as well, and insurance can cover this to reduce the price of your surgery overall☝️

The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in patients who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome. After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck and please let me know if I can help.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon in Boston & Miami

Google "Roman nose". A "Roman" statue frequently had the forehead slide right onto the nose without a little dip in the area between the eyebrows and upper eyelids as we expect to see nowadays. That area is firm bone, but it can be carved down significantly in a revision operation, if the surgeon has experience with that. It would be nice for you to have some morphs of what it would would look like -- that's a good way to see how the extra strength at the top of the nose affects the appearance. It usually makes the nose look too long as well as overall stronger or more prominent.

Hello and thank you for your question. Based on your photographs, you are a great candidate for a revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. 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