5 years post-op. Nose still has dark indentations along both sides and a scooped out appearance. Options? (photos)

I had my rhinoplasty 5 years ago to correct a prominent dorsal hump. Now, it has a scooped out appearance with dark indentations along both sides. I also feel the tip of my nose is disproportionately larger and more round. I have always been self conscious of my new nose, so I spoke with my plastic surgeon regarding these concerns. His reply was that I was one of his "trickiest cases" and I was being too much of a perfectionist. Any advice regarding my concerns would be greatly appreciated!

Doctor Answers 6

Revision rhinoplasty

A revision rhinoplasty with cartilage grafts to slightly augment the dorsum and correct the inverted V deformity would be indicated. 

Fort Lauderdale Plastic Surgeon
4.9 out of 5 stars 49 reviews

Rhinoplasty revision

You have two options;

1. Use fillers like Restylane to hide the depressions

2. Revision rhinoplasty

I would recommend the easy route first. If the fillers do not give you enough improvement then go for a revision. 


Dr. J

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 107 reviews

Rhinoplasty revision


I think your nose looks pretty nice, but if you are interested in a revision, I would see a plastic surgeon that specializes in revisions. Revision rhinoplasties are very different than primary rhinoplasties. In general, to correct the things you mention, a surgeon will likely need to take either rib or ear cartilage to reconstruct your nasal appearance. However, be careful in getting too many rhinoplasty revisions as your nose will start to appear "operated on". 

Best wishes,

Dr. Blagg

Austin, TX

Ross Blagg, MD
Austin Physician
5.0 out of 5 stars 18 reviews


Hello, you would need a revision rhinoplasty to make adjustments to those areas. Seek out a board certified surgeon who had a large amount of revision experience. Good Luck.

Dr P

Paul W. Papillion, MD
Nashville Plastic Surgeon
5.0 out of 5 stars 58 reviews

Try injection rhinoplasty

You may want to try injection rhinoplasty.  This is ideal to change the appearance of the nose without having to undergo a revision surgery.  Small amounts of filler can be added to the dorsum and along the sides.   It can address your problem areas without more surgery.  The results can last a year.  If you like the results the possiblity of a more permanent filler can also be discussed.

Jeffrey Marvel, MD
Nashville Facial Plastic Surgeon
4.6 out of 5 stars 48 reviews

Scooped Out Appearance

Thank you for your question.

If you are unhappy with your result, and you don't think your surgeon is able to deliver the results you ultimately desire, you are always able to have a second opinion from another surgeon.  I recommend searching for surgeons with extensive rhinoplasty experience, especially with "revision" or "secondary" rhinoplasty.


Dr. Michael Epstein

MAE Plastic Surgery

Northbrook, IL

Michael A. Epstein, MD, FACS
Chicago Plastic Surgeon
4.9 out of 5 stars 48 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.