Nose caves in on one side. What can be done to fix it? (photo)

Question

My nose caves in on one side a little and it bothers me. I’m wondering what I can have done to fix it. Maybe a filler? Or is a fat graft possible for a permanent solution?

Jason Emer, MD · Answer

Thank you for your question. I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (voluma, restylane, juvederm) can be used to improve the symmetry of the nose. Surgery would be needed to improve nostrils or overall shape. See an expert. Best, Dr. Emer

Philip S. Schoenfeld, MD, FACS · Answer

Thank you for your photos.  You actually have several options to correct the appearance of your nose.  You can certainly do something temporary such as injectable fillers to your bridge to even it out.  A more permanent solution would be rhinoplasty.  Something called a spreader graft would elevate the concave portion of your nasal dorsum.  I would not suggest fat grafting.  I would suggest seeing an experienced rhinoplasty surgeon who can not only perform injections but can also surgically correct your nose so that you have a relationship with someone who knows everything about your nose.

Eric M. Joseph, MD · Answer

If you're referring to the slight indentation along the right sidewall of your nose, injectable fillers may be considered for achieving a straighter nasal appearance, depending on your exam. We prefer using Silikon1000 for permanent results. Thank you. Dr Joseph

Sam Naficy, MD, FACS · Answer

The best long term option would be rhinoplasty to surgically correct the asymmetry but you can also use fillers as long as you don't mind widening the nose more which is what fillers tend to do.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,
As you are looking for a pernament solution and you have thich skin, based on your photos Rhinoplasty with closed and atraumantic technique can help you. Filler and a fat graft is not your answer.
Regards,

Kapil Saigal, MD, FACS · Answer

Camouflaging a concavity in the nose can be performed with Hyaluronic acid filler such as Restylane. This is an excellent option to improve nasal contour without committing to Rhinoplasty surgery, and can be performed in the office with minimal discomfort with excellent temporary results for carefully selected patients. Fat grafting can be an option as well but in this area many surgeons feel that fillers are more consistent and reliable.  Be sure to trust your care to a specialist and best of luck to you.

William Portuese, MD · Answer

A closed Rhinoplasty approach can accomplish  straightening the crooked nose and repairing the concave and collapsed upper lateral cartilage in the midportion of the nose. A  spreader graft composed of the patient's  own cartilage is usually required to prevent the collapse of the upper lateral cartilages.  Fat grafting is not recommended in the nose.  For a variety of reasons, we do not recommend non--surgical rhinoplasty injections. For more information and many before-and-after examples, please see video below

Nose caves in on one side. What can be done to fix it? (photo)

Answers (7)

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