Gap in nasal bridge? What is wrong with my nose? (Photo)

It is hard to tell from one photo, but a dent or irregularity can often be filled with silicone to smooth out the defect. It's also possible that the bones are still separated and osteotomies are needed. Be sure to see a rhinoplasty expert for consultation.

This looks like there is a bony deformity of the nasal bones where they meet the cartilages (upper laterals) of the nose. This is often a problem after excessive rasping and/or poor osteotomies of the nasal boney vault. I would recommend a revision rhinoplasty with cartilage grafting and bone remodeling/osteotomies.

Hello and thank you for your question. If you undergo a revision to fix this, I would strongly consider placing a dorsal fascial onlay graft to provide a smoother dorsal contour. 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

If there is a gap in between your nasal bones, or if you have a wide nasal appearance by the root of your nose, repeating osteotomy's for an hour nasal bone appearance may certainly be considered. I hope this helps. Sincerely, Dr. Joseph

The contour and appearance of your nasal dorsum is a combination of the nasal bones and the upper lateral cartilages. The keystone area is the junction of the nasal bones and upper lateral cartilages and it is very important that this area is maintained after nasal surgery. If the upper lateral cartilages are not re-suspended appropriately, patients can develop whats referred to as an inverted V deformity. It is not clear in the provided photo, but you may be suffering from this. This can only be addressed surgically, with appropriate positioning/supper of the upper lateral cartilages.
Sean M Fisher MD