Dent on tip of nose 5 years after nose job - is it implant my sliding down or a keloid scar forming? (photos)

Question

Im 25F, had a nose job (asian nose bridge implant, no cartilage used, just goretex) 5-6 years ago. Recently noticed a dent on the tip of my nose (photos included), it doesnt hurt and doesnt look like the implant is poking out but cant help but wonder if the implant is slowly sliding down, hence creating the indent, or if its a keloid scar forming at the incision site for the implant (keloid scar inside of nose , pulling the outside skin inward creating a dent?). Thank you in advance.

Zoran Potparic, MD · Answer

It is very likely related to your implant. If you do not want mayor revision and replacement of implant with fascia/cartilage graft, injection of filler may considered if no infection present. In person consultation with a board certified plastic surgeon, expert in rhinoplasty, is recommended. Good luck.

Eric M. Joseph, MD · Answer

Since you have a foreign body, GoreTex, in your nose, please consider consulting with a reputable rhinoplasty specialist. An acute change in your nasal appearance after 5 years could be from a GoerTex related infection. GoreTex does not migrate in our experience. Wishing you well. Dr Joseph

Ufuk Duzenli, MD · Answer

I highly recommend revision surgery with rib cartilage. The implant have been damaged the skin. İt have to remove out

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