Feel like I have a dent 1 year post-op, will massaging help? (Photos)

Question

I will be 1 year post ops on Feb 4th. I noticed in Nov that my nose has a dent above my nostrils. Is this permanent? My surgeon didn't say anything about massaging my nose but now I feel like maybe it will help? And please don't tell me fillers will help. For how much I paid for my nose I do not want to get fillers the rest of my life to fix it. Any advice would be great! I know I should just go see my surgeon, I worry he will say it's nothing, but I notice it ):

Sergei Kalsow, MD · Answer

Hi, looks like the cartilage on one side was affected more then on the other side, giving some asymmetry.  You would most likely need a revision rhinoplasty to fix this if it bothers you.  Trying a filler might work, because after a few shots of filler some scar tissue can form giving fullness, improving the dent, and you might not have to do fillers after.

Yash Avashia, MD · Answer

The area you circled is referred to as the "soft tissue triangle." It's a very delicate area of the nose that can have some changes after rhinoplasty if it's not supported during the surgery. Normally at 1 year out, you've seen a majority of the changes that may occur. You may go on to develop more changes in this area however. This is a reasonable thing to show your primary rhinoplasty surgeon and seek options.

Zoran Potparic, MD · Answer

It is difficult to evaluate how extensive your nose dent is and what is the reason for it. However, from these photos, it seems that it is fairly small can be corrected with a crushed cartilage grafts (taken from behind the ear) or simpler, with fillers; yes, fillers are good option for such a minimal deformities and will last up to 2 years in this particular location. Hope this helps.

Gerald Minniti, MD, FACS · Answer

Sorry, but this is not massagable. Almost nothing is; telling patients to massage is a conscious or unconscious mechanism some surgeons do to buy time and get them out of their office. You are looking at a slight curve in the lateral limb of your tip cartilage. Fillers do well there and can last for years, or you can get another surgery. This is not necessarily the fault of your surgeon, is frequently associated with the scarring process, and is the reason you sign consents indicating you understand that healing is unpredictable.

Daniel Barrett, MD · Answer

Dear Amandax3,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Feel like I have a dent 1 year post-op, will massaging help? (Photos)

Answers (8)

Answer: Fillers or another surgery

Answer: Fillers or another surgery

Answer: Dent after rhinoplasty

Answer: Dent after rhinoplasty

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Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

Feel like I have a dent 1 year post-op, will massaging help? (Photos)

Answers (8)

Answer: Fillers or another surgery

Answer: Fillers or another surgery

Answer: Dent after rhinoplasty

Answer: Dent after rhinoplasty

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.