Indents bulbous tip TRICKY CASE ( my surgeon was great). Should I consider a revision or filler?

Question

I had a rhinoplasty from an amazing surgeon! From the difficulty of my case, I understand that surgeons are not magicians and unfortunately genetics really werent on my side with my nose. I had a complication with cartilage placement as my skin was too thin where those indents were so it kept falling out. Would I have to consider a revision or filler in those indents? What are your opinions? Also, I know my alars are large. I don't want to compromise safety for aesthetics.

Eric M. Joseph, MD · Answer

If another surgery is out of the question, the indentations next to your tip at the nostril margins may be filled and lowered with microdroplet Silikon-1000, depending on your examination. The feasibility of revision rhinoplasty would also require an examination. Hope this helps you. Dr Joseph

Jeffrey H. Spiegel, MD · Answer

Hi there. Glad you were happy so far. But, I'd suggest a revision rhinoplasty and I do think the alar cartilages area can be considerably improved as well.  We'd do something called a crural overlay to improve this.

Bradford A. Bader, MD · Answer

The "indents" are a normal anatomic area of the nose referred to as the soft tissue triangle. The size and shape of this area is determined by the size, shape and orientation of the lower lateral cartilages. The lower lateral cartilages can be controlled with a combination of sutures, grafts and partial excision in rhinoplasty. Filler would not improve this much. You are better off having revision surgery to correct the domal angle, caudal excess and hanging columella.

Indents bulbous tip TRICKY CASE ( my surgeon was great). Should I consider a revision or filler?

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Answers (3)

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