Nose dents? and still droopy? (Photo)

Question

Hi, I had a revision rhinoplasty about two years ago. I have noticed two dents on side of my nose, and so I contaced my doctor and he told me, that I had those before the surgery, and that I have them due to my anatomy. Are there anything that I can do about these, or are they totally normal? And is my nosetip still droopy?

Steven M. Denenberg, MD · Answer

The dents that I see are just a place where the nose doesn't have any cartilage backing, so that area can sink in, looking like a dent. Look at that place on other people's noses -- I think you'll see the same thing. Maybe your dents are deeper than someone else's, but it's still normal.

Whether the tip is droopy is your decision. If you are considering another revision to elevate the tip, you should evaluate some morphs of your nose (many surgeons will do that for you; we do it frequently). If your ideal is a tip that is only a little bit shorter, then don't have the surgery -- the change won't be worth the trouble and the risk. On the other hand, if you want a large elevation of the tip, it might be okay to consider a revision. You *must*, however, make sure that the surgeon can accomplish what you want in a revision, by seeing photos of his other revision patients with noses that were too long. Elevating the tip a lot in a revision is difficult, and something that most surgeons cannot accomplish.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, these indents are likely due to poor support of the lateral crus. If you end up wanting a revision, this could be addressed during a revision and your tip could be elevated and Nasal Tip Deprojection could be performed at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Nose dents? and still droopy? (Photo)

Answers (2)

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