Which procedure is less risky: a small cartilage graft or filler in the soft tissue triangle of my nose? (Photos)

Question

I had two rhinoplasties which left me with an indentation in the soft tissue triangle on one side of my nose. I had filler in there twice over the years, with great results. However the third time the doctor injected too much, so I had complications (possible occlusion which was managed with hyaluronidase). Now all the filler is gone and my soft tissue triangle indentation is back and quite deep at it, it makes my nose look weird. Would you recommend another filler or a graft for this area?

Andrew Miller, MD · Answer

This is a difficult problem. The cartilage inside the nose is asymmetric and retracting on the left side. The best way to attempt a correction would be with surgery. Either a cartilage graft or composite graft internally can be contoured to improve the defect with a permanent result. Be sure to see a rhinoplasty specialist for consulation.

Tanveer Janjua, MD · Answer

It is the safest way to control the depression in the soft tissue triangle as there are no arteries in that area that can get compromised making it safe. Grafts always end up showing edges or pin cushioning. Also, if the filler (hyaluronic acid) does not look good, it is completely reversible.RegardsDr. J

William Portuese, MD · Answer

Since you've already had an occlusion of your blood vessels in your nose from a previous injection, best not perform that again.  Fillers are not FDA approved for that application, and can have significant complications which you narrowly avoided. A small cartilage graft can be softened, morselized and placed in that soft-tissue triangle of the nose for a permanent effect.

Geoffrey W. Tobias, MD, FACS · Answer

it appears that you had 2 tiplastys that resulted in a uneven result. the cause was most likely improper contouring of your lower later cartilages in the first place. this resulted in a collapse of the facet area. filler will never permanently correct this, the cartilage surrounding the area of depression must be corrected and properly reconstructed.sometimes a small crushed cartilage graft placed within the facet depression would correct and residual deformity.

Which procedure is less risky: a small cartilage graft or filler in the soft tissue triangle of my nose? (Photos)

Answers (4)

Answer: Uneven tip following rhinoplasty

Answer: Uneven tip following rhinoplasty

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Everything you need to know about Revision Rhinoplasty

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

Which procedure is less risky: a small cartilage graft or filler in the soft tissue triangle of my nose? (Photos)

Answers (4)

Answer: Uneven tip following rhinoplasty

Answer: Uneven tip following rhinoplasty

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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.