Age 24, is my nose caving in 8 years post rhinoplasty? Why is it changing? (Photo)

Question

I am a 24 year old woman and I got a rhinoplasty when I was 16. Since then, my nose has been crooked and looks different depending on which side you look at it from. My nostrils are uneven so my breathing is 60/40. There has also always been an indent on the left side. Recently (within the past year or so) I have noticed what seems to be some skin denting in/puckering up near the tip of the left side of my nose. It feels hard and lumpy. What could be causing this? Is it going to dent more?

Randal Haworth, MD, FACS · Answer

Hello !

The nose is primarily composed of cartilage instead of bone, which means that subtle changes in the cartilage over time - spanning years or even decades - could eventually become apparent.

Fortunately, a revision rhinoplasty can fix this issue.

It is best to consult with an expert in revision rhinoplasty for the best results, as it is a complex procedure.

I hope this helps,
Best of luck !

Eric M. Joseph, MD · Answer

The indentation corresponds to your "Soft tissue triangle" which contains no cartilage. Since you have thin nasal skin, and indentation in this area in years after rhinoplasty can occur. If this is bothering you, The area may be permanently filled with a small droplet of Silikon-1000. Hope this helps! Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.Unfortunately from the only photo you provided it is very hard to make a proper evaluation. If you can provide better photos from your face from front and side (taken 1 meter away) it would be better.Anyway if your nose is crooked and you have breathing issue I highly recommend you a revision rhinoplasty surgery. It would improve a lot your breathing and correct the deviation. Best regards!

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photograph.

The problem that you are highlighting is related to the support of the soft triangle. Its visibility is most likely driven by changes in the thickness of the skin.

In general, this area changes relatively slowly over a lifetime, and you may not see much additional change in the future.

It is possible to use a small amount of hyaluronic acid filler to produce a smoother effect. It is important that the amount used is very small as it can easily produce the impression that the tip of the nose is fuller.

Richard A. Bartlett, MD · Answer

I recommend reaching out to the Plastic Surgeon that performed your Rhinoplasty for answers. If that surgeon is unavailable to your needs, I suggest booking a consultation with a Board Certified Plastic Surgeon.

Zoran Potparic, MD · Answer

Based on this photo, changes are very subtle and need to be addressed properly with revision. In person consultation with a baord certified plastic surgeon, expert in rhinoplasty. is recommended. Good luck.

Age 24, is my nose caving in 8 years post rhinoplasty? Why is it changing? (Photo)

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