Can dermal filler be used to fill in the dent on the left side of my nose? (Photo)

Question

Cartilage was broken 20 yrs ago, resulting in dent.  Rhinoplasty is too expensive for me at this time, so would a dermal filler such as Juvederm (or the like) fill in the dent, making my nose more symmetrical looking? I had surgery 6 years ago to fix a deviated septum and the surgeon apparently tried to repair that area, as there is now scar tissue built-up inside my nose in the area where the dent is. The dent was there before the surgery. If this can be filled in, which filler is recommended and how long will it last?

Randal Haworth, MD, FACS · Answer

Thanks for your question and photo. Small irregularities and asymmetries in the nose can be improved with fillers and one can either use permanent or temporary fillers. Among the permanent fillers are FDA approved, Bellafill ® or fat transfer (which, of course, comes from your own body). Fillers will rarely improve nasal obstruction or make the nose smaller. For a life long result, a rhinoplasty is still generally the gold standard but many of my patients are delighted with what a filler can do, especially if one's expectations are properly managed.

Alexander Rivkin, MD · Answer

Hi, and thanks for your question. From the photo you provide, it seems possible to correct the indentation with fillers, although I would have to see it firsthand to know better. Your case does become more complicated since you have had surgery to the area and, as you say, there is probably scar tissue under the skin. Nevertheless, I have corrected issues like this successfully many times. I would recommend using Voluma. It provides good lift, it lasts for 1.5 to 2 years and it is reversible at any time with an enzyme called hyaluronidase. The most important factor in getting a great outcome for you is to go to someone who is extremely experienced in Non Surgical Rhinoplasty. The surgery you have had means that the blood supply to the skin of your nose is no longer as robust as it used to be. Placing filler there without risk of damage to the skin is tricky and should not be attempted by someone inexperienced in this procedure. Hope that helps

Eric M. Joseph, MD · Answer

As long as you are not looking to improve your nasal breathing, from a cosmetic standpoint, microdroplet Silikon-1000 injections may be considered for filling in the indentation along the left lower side wall of your nose, so you may achieve a straighter nasal appearance. I hope this helps! Sincerely, Dr Joseph

William Groff, DO · Answer

Your photo suggests that you would respond well to a nonsurgical rhinoplasty using a hyaluronic-acid based dermal fillers such as Juvederm or Juvederm Voluma. I’d recommend Voluma because it is more substantial, lasts longer (up to 2 years) and will look very natural. The results of a nonsurgical nose job using dermal fillers can be quite impressive. Be sure to consult a board-certified dermatologist who has experience reshaping the nose with HA fillers.

Munir Somji, BSc, MBBS · Answer

Fillers can be gently placed in the nose to fill in the dent. However, given your surgical history it is important to take it slowly as swelling and bruising can distort the initial result.

Jason Emer, MD · Answer

Yes, facial fillers (voluma, restylane, juvederm) can be used to improve the symmetry of the nose. I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results.  However, surgery would be needed to improve nostrils or overall shape. See an expert. Best, Dr. Emer

Edgardo Zavala, MD · Answer

On review of your picture your concern is quite clear. A filler would be perfect to correct this. My choice would be for a permanent filler such as Bellafil to avoid having to repeat the procedure.

Gabriel Chiu, DO · Answer

Thank you for your question. If rhinoplasty is out of the question for you, using a cosmetic filler would be a reasonable treatment to address your area of concern. Facial fillers, such as Radiesse, Juvederm, or Restylane can all be used to correct the symmetry of your nose. However, a formal evaluation from a practitioner would be needed in order to address all of your aesthetic concerns.

Kyle S. Choe, MD, FACS · Answer

You are a great candidate for non-surgical rhinoplasty. Filler such as Juvderm is usually used and the result is immediate and can last up to 1 year. I would consult with a local facial plastic surgeon.

Kapil Saigal, MD, FACS · Answer

I think you may be a perfect candidate for nonsurgical rhinoplasty, given that you have an isolated concavity secondary to trauma and cannot undergo a rhinoplasty at this time - this happens to many people and given the isolated area of shallow depression in the left supratip, I would consider an HA filler such as Restylane that would give you a great result for about a year.  After that you can consider surgery if you are so inclined.  Best of luck!

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