Procedure options for red marks and notch 18 months after rhinoplasty? Fillers and laser have not made a difference. (photos)

Question

I had rhinoplasty about 18 months ago to straighten my nose and minor hump reduction. I was initially happy with the results but around 9 months postop I noticed redness / Telangiectasia that seems to have slowly gotten worse. I also noticed a small notch that I hadn't noticed before. My doctor tried filler for the notch and lazer for the red mark. Neither have worked. Do I have any other options? Is revision an option or would it make it worse?

Nima Shemirani, MD · Answer

Hi @Straightforward151546. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are options for you that can be determined after examination.

Best of luck,

Dr. Nima

Gianfranco Frojo, MD · Answer

The notch is from asymmetry in the mid-cartilaginous vault secondary to likely contraction and/or contour deformity from the surgery. You need a revision. I would see someone for a full evaluation.

Procedure options for red marks and notch 18 months after rhinoplasty? Fillers and laser have not made a difference. (photos)

Answers (2)