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

Hi @pjannahx! Thank you for sharing your photos. I recommend seeing a revision rhinoplasty specialist for in person examination. There are several options for you that can be determined after examination. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!

Based on your photo, you are a candidate for revision rhinoplasty. Some patients will try a filler injection first to see if it accomplishes the desired effect. But if not, a properly placed cartilage graft can both improve the shape and help the breathing. Be sure you see a rhinoplasty expert for consultation.

Good Afternoon! I see what you're referring to in your photo. Yes, grafts can be used to improve the appearance and function of the nose. I prefer septal cartilage but will use other sources like ear or rib. If too much was removed, that can leave the indention and subsequently affect breathing as you've noticed. By placing a graft carefully, you can get nice improvements. Anytime a revision is performed, there is increased risk for things like infection or creation of other asymmetries, though hopefully low. If you haven't already, seek consultation with a facial plastic surgeon proficient in revision rhinoplasty. Hope this helps you!