4 years post op, I can still see the strip placed inside my nose bridge. Can this be fixed? (photo)

It appears that there is some contour irregularity in the nasal bones area. With these limited photos, it is difficult to determine exactly what is going on. I recommend seeing a rhinoplasty surgeon (preferably an American Board of Plastic Surgery certified surgeon with extensive aesthetic surgery experience).

Your surgeon should know. I would be pessimistic that it can be camouflaged. Besides the little transverse ridge, it seems that we can see sharp side edges of the graft heading down toward the tip of your nose. I tend to think simply: I would remove the graft surgically!

Thank you for your question and for sharing your photograph.

If the contour irregularity on the bridge of your nose is due to cartilage, it can often be improved with a minor in-office procedure under local anaesthetic known as needle rasping. This technique involves using a fine needle to break down and subtly reshape the cartilage, redistributing the material from the edges to create a smoother contour without completely removing it.

If the irregularity is not related to a cartilage graft, alternative options include camouflaging the area with injectable filler or fat transfer. In cases where a more definitive correction is required, surgical intervention may be necessary.