Dent in nose after rhinoplasty? (Photo)

Different fillers are an option to fill in the concave area on the left side of your nose.  While this will largely correct the asymmetry of the nose side-wall, it will need to be repeated on a regular basis.  Since you are young, this may represent a lifetime of cosmetic "upkeep and maintenance" that is expensive, time consuming, and somewhat painful.  Fillers might be a stop-gap" band aid, but, for the long term, you should consider revision septoplasty and rhinoplasty.  

Function of the nose and cosmetics, go hand-in-hand.  With the narrowing of your nose and a deviated septum, your airway can be reduced, especially as you age and the cartilage and bony structures of your nose weaken. Using cartilage from the correction of your septum, an experienced surgeon can correct your concave sidewall and your nasal tip so that your nose and airway have structure that lasts for life, as well as an open airway.

I would talk to your doctor about this.  If he/she does not wish to perform a septoplasty and revision rhinoplasty, there are many San Diego Otolaryngologist/Fellowship Trained/Academic Facial Plastic Surgeons that specialize in this type of work and perform more of these operations than other general plastic surgeons.

Thank you very much for sharing your concerns about your Rhinoplasty with us.

After having analyzed all the info and photos provided to us, i recommend to perform a Secondary Rhinoplasty (not a tip revision) this means (basically) treat the nasal bones and the nasal cartilages.Therefore i would perform a narrowing of the nasal base (nose osteotomy) and alar and triangular cartilage shaping.

Respectfully,Dr. Emmanuel Mallol Cotes.-

Your nose has some asymmetries and a hyaluronic acid based filler can help with the dent on the collapsed left side of the nose, but in the tip of the nose you also have an alar retraction, that the filler will not correct and it not advisable to use a filler there. It will be better to get a secondary rhinoplasty to correct that problem.

You do have a small indent on the left side of the nose. This is not as prominent unless the nose is isolated in the photos. That, however, can be easily corrected with a filler in the nose. The only concern is that it is a temporary correction. Formal revision surgery is a permanent correction, but a big hurdle to overcome.

See your doctor or a board-certified plastic surgeon in your area to get a formal opinion.

Revision rhinoplasty is a surgery to improve the shape of the nose for breathing or appearance after a previous nose shaping surgery.In the photos provided, the nasal bone and cartilage are depressed on the left side. The nasal bone needs to be moved and then supported with a spreader graft. Using filler as a touch-up after rhinoplasty is getting increasingly popular, even advertised as a "quick-fix." Although it can potentially help in the right situations, fillers in the nose have higher risks than filler in the rest of the face. It is a temporary measure that needs to be reinjected every 1-2 years. Most importantly, it does not replace good rhinoplasty technique. I recommend a consultation with your original surgeon and a revision rhinoplasty surgeon to discuss appropriate options for a safe and happy result. Safety comes first.