Seeking guidance on rhinoplasty complication and potential skin flap procedure (Photo)

The first picture shows a crusty hole - is that recent? The central photo shows a hole that appears like a dimple and well healed. If that is where you are, you probably don't need the skin flap procedure. There should be smaller ways to improve that hole such as subcision, undermining, direct closure, and even a small amount of filler plus scar revision.

Hello and thank you for your question. Sorry to hear this. Based on your photographs, a better solution may be to undergo a revision and placement of a mastoid fascia tip graft to bring healthy tissue into the area with the risk of distortion of a flap. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon