Revision rhinoplasty - I underwent a septorhinoplasty a while ago, my nose still looks dented in. What should I do? (Photos)

Question

I underwent a septorhinoplasty a while ago to fix my broken nose and deviated septum. I also had a turbinate reduction. However my nose still looks dented in on the left side and I'm still having issues breathing out of that side. The nasal bone is straighter than it was but the middle (from what I read, the upper lateral cartilage) still looks crooked/collapsed. I don't want it fixed but I don't want to go through another surgery and it still looks/functions the same. What should I do?

Jonathan Kulbersh, MD · Answer

Thank you for your question. While a revision rhinoplasty would be able to readjust the shape of your nose and provide more long-term results, injectable dermal fillers are a non-surgical option for building up a dented nasal bridge. This procedure often replaces the need for a cartilage graft and can reshape and volumize the nose to produce the desired results. While this procedure does need to be repeated regularly to maintain results, it is a quick treatment that does not involve any downtime. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your needs while addressing your personal medical history.

Donald B. Yoo, MD, FACS · Answer

The best way to determine what specific changes will look good on your face, and what changes are surgically possible, is to do your research to find the top rhinoplasty specialists and consult with several of them in person. During your consultation, your photos can be computer-morphed to show how the changes to your nose will affect your appearance. The amount of cartilage that is necessary depends on the degree of tip projection and dorsal augmentation you want to achieve (how tall you want to make your nose). If you only want a conservative amount, it may be attainable with cartilage harvested from your septum. For a more dramatic change, additional cartilage is necessary which can be obtained from your rib. Good luck! @drdonyoo

Ajaya Kashyap, MD · Answer

Thank-you for your question. A surgical revision rhinoplasty can certainly help with the depression and overall shape of your nose. If you are not looking for surgical correction, fillers can help improve the appearance of your nose . Please discuss your concerns with your plastic surgeon who can examine you and help you. All the best!

Revision rhinoplasty - I underwent a septorhinoplasty a while ago, my nose still looks dented in. What should I do? (Photos)

Answers (3)

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