What is this Dent/Collapse of the supratip lobule 5 years after septoplasty? (photos)

This is what many call the long term "shrink wrap" effect of rhinoplasty. It happens as the skin continues to slowly contract over time and causes cartilage distortion. While there are many techniques to try and prevent it from occurring it is a natural biologic process which cannot be completely controlled or prevented. You will need to see someone about a revision to improve this.

Hi villenas,

It is quite common for cartilage graft to be used in surgery and this cartilage can/may be partially reabsorbed over time. Another factor in play may be the long term contraction of the subcutaneous tissue. Should this concern you, a correction should be pretty straight forward.