Nose looks deformed 2 months after car accident. Can this be fixed with filler? (Photos)

Question

I had a rhinoplasty in 2023. The result was the most perfect nose I’ve ever seen. I chose an amazing doctor and was meticulous on after care. Unfortunately I took an airbag to the face in a car accident a few months ago. The nose looked exactly the same afterwards, and stayed exactly the same for about 2 months. A few weeks ago the tip started looking super deformed. What happened? Did something shift in accident but not show up until 2 months + later? Also I have been taping it at night since I noticed it, will that help? And is it something that could be fixed/smoothed out with filler? Thanks.

Alejandro Nogueira, MD · Answer

I can guarantee to you no one airbag impact produces a inflammation-free, bloodless, no-bruise 2-mo-late-onset nasal deformity like yours, not even in such perfection environment of surgeon-surgery-postsurgery-results.

So... unless any missing factor in your daily life or medical background is missing in your story... this leaves us only one choice: talking about the technical quality of the rhinoplasty received.

Take with a huge amount of salt any opinion, unless more detailed data and better images are provided.

Eric M. Joseph, MD · Answer

Evaluation of up close photographs is difficult. You appear to have thin nasal skin. If you are noticing asymmetries in your nasal tip appearance, depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for improving upon nasal symmetry. I hope this helps! Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question nasal filling can seriously damage the tear ducts and create bad results, so we do not recommend nasal filling, instead, I recommend rhinoplasty for both a reliable and permanent result.
 Best Regards!

Michelle Zweifler, MD · Answer

Totally can relate to your concerns after the car accident and airbag injury. I would recommend that you schedule an appointment to see your amazing rhinoplasty doctor. After trauma there is swelling that takes time to resolve. Not sure if taping would help. Yes, at times filler can be used to treat a depression.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. This may not have anything to do with the car accident. Your tip does appear over projected and therefore it can change around this time after your original surgery. A revision may be able to help significantly. 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

Best wishes and good luck.

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

Zeshaan Maan, MD · Answer

It would be most helpful to see pictures of your nose before surgery, after surgery and before the car accident as well as the current issue. 
It’s possible that after the car accident,, new scar tissue began to form which caused deformation of the cartilage and/or the trauma resulted in thinning of the soft tissue of the tip, making the underlying cartilage more visible.
I would highly recommend that you go back to the surgeon who did your rhinoplasty, considering you had such a good experience, and see what he or she advises.

Sean Fisher, MD · Answer

It is difficult to answer this question without knowing what was done surgically during your prior rhinoplasty. Often, cartilage grafts are used to help in tip positioning and shaping. these grafts could certainly be fractured in the course of an accident which may result in a change in the nasal appearance after healing. If you were happy with the results of your rhinoplasty, I would recommend following up with your surgeon. They will have the best understanding of what was done surgically, and can help in the decision process for whether a revision is needed. 
Sean Fisher, MD Aesthetic Plastic SurgeonSeattle, WA

Nose looks deformed 2 months after car accident. Can this be fixed with filler? (Photos)

Answers (7)

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