Can a second revision rhinoplasty fill in the indent on the side of my nose? Or is it risky? (photo)

Thank you for your question and sharing your photo.

I am sorry that you have experienced difficulties with your surgery. In the first instance, I suggest discussing your situation with your surgeon. They may be able to offer simpler solutions than when you have surgery in a new centre.

The photo suggests an asymmetry of the tip cartilages with underlying problem being a slight deviation of the support of the tip to the right (if the image is mirrored). This is associated with stronger folding of the right tip cartilage and as a result the supra-alar crease on the right is deeper and the airway would often be more restricted at the entrance. A photo taken from below can give more information on this point.

A consultation in person would be required to evaluate the area of restriction for the nasal airway since the external appearance can be deceptive.

The cosmetic aspect can be addressed with injectable filler or with cartilage graft but if you look at correction of the airway as well as shape, it may be necessary to adjust the alignment of the tip of the nose and re-do the shape of the nasal tip domes. Grafts are likely to be needed to this effect but this depends on the strength of the support already in place and whether it can be adjusted.