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

Question

I had nosetip open surg. 5 years ago with local sedaction.Narrowed nose tip and upturned it a little bit (i believe with internal stiches).Now,within last year (5 years after), my supratip lobule formed a dent that makes my nose tip disconnected from my middle nose. Nosetip looks as over-projected in some degree. Is it possible my internal sutures didn't hold on left side?Tip rotated all of a sudden?Will this worsen?What's the problem you think and is it fixable (p.x. with new internal stiches)?

Michael L. Schwartz, MD · Answer

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.

Somyos Kunachak, MD - Account Suspended · Answer

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.

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

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