Indent along nose bridge, do I need a revision? (Photos)

Question

I had a rhinoplasty about 6 months ago and it was looking great for a little bit during recovery but as of recently I’ve noticed these visible and palpable depressions in my nose. I’m very worried, my doctor says it is nothing to worry about and it needs time to heal but I am thinking I’m going to have to start planning/saving for a revision (not looking to do fillers). Is this something that would go away with 6 more month of healing?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. It is generally recommended to wait until at least one year has passed and the recovery process is complete to assess the final results and consider a revision procedure. If you’re still unsatisfied with your rhinoplasty results at this time, a revision can be performed to raise the indention, most likely with cartilage grafting. 
Keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support and scar tissue. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon with expertise in rhinoplasty techniques. They will be able to oversee your recovery process and help you decide on the best way to achieve your aesthetic goals.

Eric M. Joseph, MD · Answer

You appear to have tip and bridge asymmetries, some of which can be safely improved with microdroplet silikon-1000. Thanks! Dr Joseph

Marc Polacco, MD · Answer

Thank you for your question. Based on the photos, it appears that you have what we surgeons call an inverted V deformity. This can happen after rhinoplasty is the middle section of the nose becomes too narrow. Many patients also note resistance breathing through their nose. The best way to address this would be by placing cartilage grafts, which would require a small revision unfortunately. While this may improve with additional time, I think it is unlikely. I'm sorry you're going through this, but I hope this information helps. All the best.
-Dr. P

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Morning! It is possible that over the next 6 months the imperfections will improve. But, with your thin skin, it could stay the same or become more visible. If a revision is needed, the grafts can be adjusted and camouflage grafts can be placed. Excellent camouflage material would be temporalis fascia or perichondrium from the rib. This "thickens" the skin and decreases the likelihood of imperfections showing-through in the future. I would discuss your concerns again with your surgeon or seek consultation with another if you need a second opinion. Hope this helps!

Indent along nose bridge, do I need a revision? (Photos)

Answers (4)

Answer: Indention within Tip

Answer: Indention within Tip

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Everything you need to know about Revision Rhinoplasty

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Indent along nose bridge, do I need a revision? (Photos)

Answers (4)

Answer: Indention within Tip

Answer: Indention within Tip

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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