What procedure can be done for these dents? (Photo)

Question

I have those dents by the side of my nose , they are getting a lot deeper and bigger a.. please not this was from a rf device a few years ago . Can this be repair with a face lift ? And if tho how ?

John Michael Thomassen, MD · Answer

A small amount of fat grafting can correct this.  You may need 2 sessions spaced 1 year apart to keep the correction.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question If you can send 2 photos of your face at 95 degree angles from the front and side profile, it will be more appropriate to specify the operations suitable for your face.
It would be better face to face consultation.
Best Regards

Yannis Alexandrides, MD, FACS · Answer

There are many options to consider; for a surgical invention, a skin-tightening procedure like a Facelift can help to smoothen out the contours found it. Additionally to can help to resolve a lot of other anti-ageing concerns such as deep nasolabial folds and jowlng. However, a Facelift would be quite an invasive procedure if all you wish to treat is the bumps.

Another surgical procedure to consider could be Micrografting to help 'fill' the dents and add more volume to the zygomatic area.

Additionally, non-surgical injectables and collagen-stimulating treatments may to improve skin quality and give the skin a plumpness that may involve the appearance of the dents you're experiencing.

The best advice is to visit a Plastic Surgeon or Aesthetic Practitioner that can help assess which is better for you.

Robert M. Tornambe, MD · Answer

I appreciate your concerns, however, it is hard to make recommendations with just the one photo. However, it appears that either filler or fat grafting may be an answer for this problem, either alone or in conjunction with a facelift. Come see me or another board-certified plastic surgeon in our area to explore the best options for you. Good luck.

Mats Hagstrom, MD (license on probation) · Answer

If this is an outcome from radio frequency, then most likely the ideology is a loss of facial fat.
To make an assessment that would be very helpful to have quality before and after pictures.
If you don’t have before, and after pictures, then ask the provider who did your treatment to forward the pictures they took.
Volume restoration is best done with fillers.
Fillers are precise, predictable, and forgiving if you don’t like the outcome.
To get an understanding of what volume restoration can accomplish it’s even possible to temporarily inject sailing and take immediate after pictures.
This is not exactly the same as injecting fillers, but can be a fairly good representation of what injecting fillers could accomplish.
The key with almost every plastic surgery procedure is finding the right provider.
Because your situation is unique you need someone who can think on their feet and increase the chance of quality outcome.
In the past, I often treat situations like this by first injecting saline solution to get an idea of what volumes I needed and exactly where to inject the filler.
Each provider will have their own view and technique of how to best handle the situation.
I think your problem is pretty clearly related to volume loss and therefore a facelift is probably not going to do what you’re hoping for.
You may or may not be a good candidate for a facelift.
The very limited picture does not allow for an assessment for that procedure.
To find the right provider and get a better understanding of treatment options I suggest you schedule a multitude in person consultations with plastic surgeons in your community.
Try to find plastic surgeons, who actually do filler injections themselves rather than have their nurses do it for them.
Plastic surgeons who have no experience with fillers, typically aren’t very good at doing the treatment.
 in the end, it doesn’t really matter what the background is. What matters is that they know what they’re doing and finding someone who’s good at this kind of work is not easy or straightforward at all.
Best,
Mats Hagstrom MD

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