Revision Rhinoplasty - Will Flatness / Indentation at Infratip at Columella Smooth Out? (photo)

That part of the columella (at the infratip lobule) is composed of the medial crura. Some people have bifidity of these cartilages (even without having had surgery) due their cartilage position and skin thickness which leads to an indentation.

I would give your nose time to heal. It is possible in the future to add an onlay graft to the region to fill in the indentation with a minor office procedure.

While it is difficult to judge from your photos, if there is indeed a flat area in the columella, this is likely in the area of the medial crura. My advice would be to give it more time to heal. If it is still present after 6-9 months, discuss a touch-up procedure with your surgeon if still concerns you.

The area that you are concerned about is most likley differences in position of your medial crura.  This also may be some swelling. You would need 6 months to a year for all the swelling to go down before considering a touch-up.

The depression of the infra-tip lobule, anterior to the open rhinoplasty incision, is probably secondary to the size or position of the medial crura and swelling within the columella. This may all improve because you're only 2 months post-op. If any revision is necessary it would be a relatively minor procedure that can be done under local anesthesia.

Hi,

The asymmetry you see in the infra - tip collumela may be due to uneven medial crus of the lower lateral cartilage. Although you are still early post-op it appears that the swelling has resolved in this area. Im not sure it will resolve on its own.

Best,

Dr.S.