Left with a Crease and Dent on Side of my Nose After Revision, Ive Had 4 2nd Opinions and No One Knows How to Fix It! (photo)

It's difficult to see from a single photo but indentations, from Rhinoplasty and Revision Rhinoplasty are only caused by three things, IMHO.


An unven dent occurs from cartilage removal or dissolution.  The more Rhinoplasties you have the more tissue, including cartilage is removed. 

Removal of subcutaneous scar tissue can sometimes cause temorary indentations.

If all the tissues between the outer nasal skin and the inner mucosa have been removed, these two layers fuse together and create a relative indentation.


The red coloration of the skin makes number 3 above more likely and does not bode well for further Revision Rhinoplasty Surgery.  If you have already had 3 or 4 consultations, I suspect you may already have heard the answer which may have been "don't do any further nasal surgery".  You mifght try some fillers to the area  once everything has settled down and healed.

Overall, your nasal profile is very nice, although I would have preferred to see a very slight rotation upward of the very tip of the nose. Fillers such as Juvaderm or Radiesse can be used to fill in the depresssions, and if pleased, you may select  a permanent solution with silicon gel. I do not see a cause for another revision surgery, but to be fair, you must be evaluated by an experienced nasal surgeon before you do anything. Laser treatment can also help remove any small reddish discoloratiion I see in the picture  I hope this explanation was helpful.