Dent / Collapse - Can my Nose Ever Look Normal?

My nose is a wreck. I had one primary surgery to make it smaller and fix the large dent from a childhood injury. It never looked good. The dent was gone for a while (I guess the graft reabsorbed?) And the other side was collapsed. My surgeon said said he could fix the collapsed side with an alar rim graft. However, he did not address the original injury on the other side. Now the dent looks worse than ever and its flat on the other side. So weird looking. Is it beyond repair?

Doctor Answers 3

Dents and Nasal Collapse after Rhinoplasty

Your nasal asymmetry and septal deviation can be improved if the surgery is performed by an experienced revision rhinoplasty surgeon who will evaluate you and explain what should be done. It is not beyond repair.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Small dents in nose are well treated with non-surgical rhinoplasty

The small dent on the right side of your nose causes some shadowing.  This may be treated surgically using a cartilage graft, but it may be challenging to make the graft the perfect size, softness, and perfectly positioned.  Sometimes the graft makes the defect better, but as swelling decreases, scar tissue forms, or the graft moves, the defect may be visible again.

Using fillers to improve contouring offers better control for very small defects.  And although the fillers most commonly used are temporary, often small defects like this get better and better over time as the fillers encourage some collagen formation.

The collapse on the left side will need to be treated surgically with cartilage grafting.  I recommend interviewing surgeons with lots of experience in revision rhinoplasty, and possibly non-surgical rhinoplasty.

Good luck in your search for information!

David C. Mabrie, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 105 reviews

Nostril asymmetry from deviated septum

Based on the photos it appears that the nostril asymmetry and collapse is at least in part related to deviation of the caudal (lower) portion of your septum.  This should also be addressed with your revision

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 221 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.