Bump/dent on one nostril 2 years post op - Any suggestions?

Question

I had rhinoplasty to take down a hump and septal spurs nearly two years ago, and now I have a visible dent on one nostril that is creating a harsh asymmetric line on one side of my nose. I can feel a ridge of cartilage along the inside of that nostril as if it’s sinking in at that spot, and it was not like that before. Any suggestions? I made an appointment with my surgeon to address the issue, but would like to have an idea of what’s going on before discussing options of more costly procedures.

Ronald J. Edelson, MD · Answer

You have a very good result overall. The crease you show is natural and doesn’t make your result look odd at all. Do not get a revision. You have an excellent result

Celal Alioglu, MD · Answer

Hello you need make a straight your septum and solve breathing problems also correct the nostrils but after the surgery your nose will not be straight for 100 %

Eric M. Joseph, MD · Answer

After more than 20 years of experience, we have found that microdroplet Silikon-1000 to be the best filler for correcting minor irregularities after rhinoplasty. These tend to occur in those with thin nasal skin and relatively firm tip cartilages. It's called "shrink-wrap", and for many, Silikon-1000 is a welcome alternative to revision surgery. Thank you. Dr Joseph

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Thanks for the photos and question. It may be that any grafting or adjustments to the cartilage were insufficient to support the area. This may have led to a depression / notch in that spot. A good intranasal examination can reveal more about what's going on. An open revision procedure allows for correction of these asymmetries. At 2 years, you would be in the appropriate timeframe to consider undergoing another procedure. I agree with revisiting with your surgeon to determine what may be the best course of action. Hope this helps!

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, there is significant improvement on nasal shape after your procedure. The nasal bridge is narrowed and there is improved nasal tip definition. There appears to be a notch in your lower lateral cartilage of the nasal tip.
Revision may consist of cartilage grafting to the affected area. 15% of cosmetic surgeries require a secondary touch up procedure to achieve optimal results.
Best wishes...

Bump/dent on one nostril 2 years post op - Any suggestions?

Answers (5)

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