Dent in nasal tip 6 years after revision rhinoplasty. What could cause this? (Photo)

Hello @laurenmorris, and thank you for your question. Keep in mind that the nose like the rest of the face ages with time. The nose even when it has been operated on is not always the same because the tissues tend to change over time due to gravity. This can be due to inflammation or other causes, for example allergies. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), Colombian Society of Plastic Surgery member (SCCP)

The very nicely posted photos demonstrate a rotated cartilage graft or cartilage lower medial alar cartilage. Easiest to try HA filler injections done ONLY by the surgeon or another expert surgeon who injects! Otherwise only additional tip surgery with cartilage diced grafting can improve. Good luck....

Hello! Thanks for the great questions and photos. The dent in your nasal tip is the separation between the lower lateral (tip) cartilages in the dome region. You appear to have thin skin so now you're noticing it over aging as the skin changes. The droopiness happens with aging and a lack of support at the caudal septum. Using strong cartilage and camouflage material at you tip (such as temporalis fascia) can lead to a strong and smooth result. Seek consultation with a facial plastic surgeon to learn more. Hope this helps!