What is this dent on my bridge post-op? (Photo)

Question

I had my primary 10 years ago, then revision 9 years ago. In my primary, the dr broke my nose and removed my hump, but he left a little tiny bone there to give it a natural look (mistake!). In my revision osteotomies were again made, and ever since I have this dented look? I have no idea why, can someone explain what this is?

Eric M. Joseph, MD · Answer

The curvi-linear indentation along the bridge of your nose is likely a small gap in between your nasal bones and upper lateral cartilages that became visible. Depending on your examination, this indentation and the one in your tip maybe filled with microdroplet Silikon-1000. It may also be considered for achieving a straighter nasal appearance. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, this indentation is due to a gap in between your nasal bones, called an open roof deformity. This can be prevented during a revision by placing a fascial onlay graft in this area. It can happen when the dorsal skin is extremely thin. If you undergo a revision, 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

What is this dent on my bridge post-op? (Photo)

Answers (2)