Filler for post rhinoplasty divot on side of nose? (Photo)

Thank you for the question and the photo. An in-person exam would be helpful to understand the exact nature of the defect/asymmetry, but fillers can be useful in many cases for smaller issues. I see that you said "permanent" fillers. This is where I would advise caution. Most fillers are temporary -- even though some may last much more than a year in the nose, they are still considered temporary. Permanent filler options are minimal... and historically this has been code for silicone. I do NOT under any circumstances recommend that you have silicone injections in the nose. You would be better off leaving it alone or even undergoing a revision surgery. Best of luck and take care!

You would benefit from an examination to determine if this is a soft tissue depression or an area with deviated cartilage.  Either way a soft tissue filler can be used to correct it.  You should probably use one of the hyaluronic acid fillers because they can be reversed if needed. There are a number of safety issues with nose injections so see someone experienced and who can handle vascular complications. For a long lasting correction a careful analysis of the reason for the depression and correction with a precise graft or restructuring is optimal.  Nothing is lost with the injection so it is reasonable to do that and then decided about surgery later.

A filler can be used as a temporary correction for minor irregularities. If it is more than a small depression, then surgical revision may be in order.

It may be best to consider corrective revision surgery for your nasal deformity. In my opinion, the risks associated with fillers and potential damage to the thin skin in this area suggest that revision surgery maybe your best option. Even in the best case, it is unlikely that an injectable filler will correct this problem and you may remain unhappy. The use of a permanent filler may be the least attractive option. I understand that you do not wish to have another surgery. However, a consultation with an experienced, trusted revision rhinoplasty specialist may give you the best information on your potential risks and benefits of revision surgery. In my view, injectable fillers for you are best avoided. Best wishes. 

fillers can be great for small irregularities in rhinoplasty...like yours, structural defects tend to worsen over time and require supportive cartilage grafting to make any kind of meaningful improvement Regardless of what you choose to do, get good advice... remember that ‘permanent’ fillers are permanent and may set you up for difficulty if you remain unhappy Good luck..

Hi ,I dont think a filler will ever be permanent for this divot. However, a minor cartilage  procedure can fix this permanently.Best,Dr.S.