How can I fix the dents in the side of the nose? (Photos)

Question

After 3rd nose surgery I have dents on the nose,where the bones were broken and pushed together.Dr.tells me,in this area the skin is attached to the bones (he mentioned that the bones are supplied that way)and that he can detach the skin from the bone by using a scissor or sth like a sharp stick,since the skin doesn't slide over these dents properly the way it should.To me it looks more as if the bones are pushed inwards too much and the skin falls into these collapsed areas.My possibilities?

Thomas A. Mustoe, MD, FACS · Answer

The bones are indeed narrowed more than ideal.  The alternatives are to re break the bones which would require formal revision rhinoplasty or fill the area in.   I have had long term success with fat grafting.

Eric M. Joseph, MD · Answer

We have had patients with small indentations along the nasal sidewall, after performing osteotomies, and permanent nonsurgical rhinoplastic treatments may be considered for filling these indentations, depending on your examination. Wishing you well. Dr Joseph

Jonathan Kulbersh, MD · Answer

I recommend getting a consultation to go over your concerns and your desired results. Revision rhinoplasty is a technically challenging procedure and I would suggest that you seek a surgeon that has a good track record for natural results. There a few select of these surgeons in each major city.  I would look at their reputations, board certifications, and before and after pictures.  
I hope this helps.

How can I fix the dents in the side of the nose? (Photos)

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