Hi so I’ve had this nose indentation for about a year and a half, I think it happened from my nose piercing becoming infected from the inside. Before this happened my nose did not look like this. Is there a way to get my nose back to normal?
March 24, 2025
Answer: Consider Subcision For Elevating & Smoothing A Nasal Indentation I'm really sorry that this has happened to you. I would suggest that you consult with an experienced, board certified cosmetic dermatologist scar treatment specialist to discuss subcision, a technique that I have been using with gratifying results for elevating and smoothing all kinds of Indented scars from all causes for thirty years. Although subcision is often accompanied by the use of a filler, such as an HA filler, in order to enhance new collagen and new elastic fiber synthesis, I would be reluctant to use it in this case, since the indentation is located on the sidewall of the nasal tip, rather than on the midline problem, where the potential risk for vascular occlusion with a filler would be increased. Traditional subcision on the other hand (I.e. without the addition of a filler) does not pose this risk. Be wary when offered expensive light and energy-based treatments, as the hard science to support the use of these expensive gizmo treatments lags well behind the social media and marketing hype. So, buyer beware. Hope this helps and best of luck.
Helpful 1 person found this helpful
March 24, 2025
Answer: Consider Subcision For Elevating & Smoothing A Nasal Indentation I'm really sorry that this has happened to you. I would suggest that you consult with an experienced, board certified cosmetic dermatologist scar treatment specialist to discuss subcision, a technique that I have been using with gratifying results for elevating and smoothing all kinds of Indented scars from all causes for thirty years. Although subcision is often accompanied by the use of a filler, such as an HA filler, in order to enhance new collagen and new elastic fiber synthesis, I would be reluctant to use it in this case, since the indentation is located on the sidewall of the nasal tip, rather than on the midline problem, where the potential risk for vascular occlusion with a filler would be increased. Traditional subcision on the other hand (I.e. without the addition of a filler) does not pose this risk. Be wary when offered expensive light and energy-based treatments, as the hard science to support the use of these expensive gizmo treatments lags well behind the social media and marketing hype. So, buyer beware. Hope this helps and best of luck.
Helpful 1 person found this helpful
March 24, 2025
Answer: Nasal depression and possible loss of Cartilage; Englewood Cliffs NJ Several modalities may be helpful for your nose. 1.Hyaluronic Acid or Other Dermal Fillers Purpose: Non-surgical correction of nasal depressions or irregularities. Mechanism: Injectable fillers can restore volume and contour, lifting depressed areas by filling the space beneath the skin. This can help mask visible deformities due to cartilage collapse. 2.Subcision Purpose: Release tethered scar tissue contributing to nasal depression. Mechanism: A needle or specialized tool is used to break fibrous bands beneath the skin that pull it down, allowing the tissue to lift and creating a smoother contour. 3. Enerjet (Jet Volumetric Remodeling) Purpose: Stimulate collagen production and tissue remodeling to improve skin texture and volume loss. Mechanism: Uses high-pressure jet injections to deliver hyaluronic acid or bioactive compounds without needles. This stimulates deep dermal remodeling and filling of the depression. Combination Approach Filler alone or in combination with Enerjet and Subcision for tissue remodeling. Complex Cases with Cartilage Collapse: May require a surgical consultation for grafting or more invasive reconstruction if non-surgical approaches are insufficient. Good luck. Jeff Rapaport MD FAAD Realself Hall of Fame Castle Connolly Top Doctor
Helpful 1 person found this helpful
March 24, 2025
Answer: Nasal depression and possible loss of Cartilage; Englewood Cliffs NJ Several modalities may be helpful for your nose. 1.Hyaluronic Acid or Other Dermal Fillers Purpose: Non-surgical correction of nasal depressions or irregularities. Mechanism: Injectable fillers can restore volume and contour, lifting depressed areas by filling the space beneath the skin. This can help mask visible deformities due to cartilage collapse. 2.Subcision Purpose: Release tethered scar tissue contributing to nasal depression. Mechanism: A needle or specialized tool is used to break fibrous bands beneath the skin that pull it down, allowing the tissue to lift and creating a smoother contour. 3. Enerjet (Jet Volumetric Remodeling) Purpose: Stimulate collagen production and tissue remodeling to improve skin texture and volume loss. Mechanism: Uses high-pressure jet injections to deliver hyaluronic acid or bioactive compounds without needles. This stimulates deep dermal remodeling and filling of the depression. Combination Approach Filler alone or in combination with Enerjet and Subcision for tissue remodeling. Complex Cases with Cartilage Collapse: May require a surgical consultation for grafting or more invasive reconstruction if non-surgical approaches are insufficient. Good luck. Jeff Rapaport MD FAAD Realself Hall of Fame Castle Connolly Top Doctor
Helpful 1 person found this helpful