What is the best way to fill in the hole/dent/missing tissue on my nose? (Photos)

Based on your history of multiple surgeries, I would do filler in the dents first to see how it looks. It the results are good, then silicone can be placed gradually to give a permanent effect. Be sure to see an expert injector for consultation.

I perceive total skeletal collapse, very bad condition of the skin cover of the nose, and a myriad of other issues here (short nose, over rotated tip, nasal valve collapse, etc).

I do not recommend any skin treatment like microneddling or injections into the nose; better wait 1-2 years for total stabilization and then reconsider a revision... but this time a comprehensive, integral and top quality one.

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty with placement of a mastoid fascia graft in the supratip to help smooth that area. 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

I can see that there is a small circular indentation involving your right nasal tip. Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for filling this and for improving upon your nasal tip symmetry, without the inconvenience, expense, and uncertainties associated with another rhinoplasty. I hope this helps! Sincerely, Dr Joseph