What can I do with the depressions on both sides of my nose? (Photos)

Question

I had a rhinoplasty over 20 years ago but in recent years i developed those depressions on both sides of my nose. I want to know if this is fixable and what are the options to fix it? is it lack of collagen, fat or what most likely caused them? thank you

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have relatively thin nasal skin and congenital indentations of your tip cartilages on both sides. We have had excellent success in filling these indentations, when they occur, with microdroplet Silikon-1000. I hope this helps, and thank you for your question. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, the indents in your tip is likely due to collapse of the lower lateral and upper lateral cartilage junction.   This can be addressed with spreader grafts and a mastoid fascia tip grafts, with additional maneuvers in a revision.   I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

Revision rhinoplasty is more difficult than a primary rhinoplasty, so an in- person examination is going to be required to make a determination about what's causing the depressions. Is it lack of cartilage, or issues with your skin? Each one of those issues are treated differently. If you're lacking cartilage in that area from a previous rhinoplasty, then cartilage can be harvested from inside the nose and grafted to that area to give improvement. There will never be a perfect nose, only improvement. It's also important to know how much cartilage is left over on the inside of your nose for grafting purposes.

What can I do with the depressions on both sides of my nose? (Photos)

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What can I do with the depressions on both sides of my nose? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.