Shifted Cartilage After Rhinoplasty and Dent in Nose

i had rhinoplasty 8 months ago and my PS said my cartilage shifted a little. He suggested Radisesse in my nose to fill in the dent. What are my options to fix the cartilage?

Doctor Answers 13

Radiesse vs. Graft

A cartilage graft is the best option for revising your problem. Prof. Dr. Enrique Pedro Gagliardi, MD  

Argentina Plastic Surgeon

Revision Rhinoplasty- Shifted nasal cartilage graft in Los Angeles

It is possible for nasal cartilage graft to shift or warp after surgery. immediately after surgery this might be corrected by massage, but later on it can only be revised with surgery. Sometimes you can camouflage the resulting dent or deformity by injecting soft tissue fillers. I usually suture cartilage grafts in place to lessen the chance of shifting.

S. Sean Younai, MD, FACS
Beverly Hills Plastic Surgeon
4.5 out of 5 stars 38 reviews

Result after rhinoplasty

There is always some swelling following a rhinoplasty so it may be difficult tot determine what was swelling and what was shifting.In any case typically I find a cartilage grafts useful however if the shift is minimal nothing may be required or a small rasping of the dorsum may suffice.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 14 reviews

Option to Improve Dent in Nose after Rhinoplasty


Minor dents in the nose or bridge can happen have rhinoplasty. Treatment may include filling it with either cartilage graft, which requires surgery, or office injection. Non-surgical rhinoplasty via office injections with either Radiesse or hyaluronic acid filler can provide temporary improvement, lasting for several months or longer. These nasal injections, however, should never be put into the tip of the nose. Only after a comprehensive evaluation can a rhinoplasty surgeon help determine appropriate options for you . Best of luck.

Dr. Chaboki



Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 68 reviews

Post-Operative Cartilage Shifting

Radiesse is a reasonable temporary solution and can be used indefinitely if you are happy with the correction it affords. A definitve repair will necessitate re-operation with cartilage grafting or re-positioning of the existing nasal cartilage - depending upon the actual problem. This is not always a technically simple procedure but should involve less dissection and therefore a shorter recovery period. Best of luck  Dr Harrell

Dent in nose, cartilage shift after Rhinoplasty

Revision Rhinoplasty would be required to gain access to the shifted onlay cartilage graft.  Onlay grafts that are not sewn or glued into place can and do move.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 17 reviews

Shifted Cartilage After Rhinoplasty and Dent in Nose

Sometimes a soft tissue filler like Radiesse can be a good, long-lasting option but it depends on the location of the nose and the nature of the indentation. Cartilage grafts are probably the best and longest-lasting option because they can be shaped exactly to fit the indentation. You should wait at least one year after first-time surgery before making the correction to allow any further residual healing to take its course.

Anand D. Patel, MD
Brookfield Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Dent in Nose after Rhinoplasty

You can either use the Radiesse or fix the dent permanently with a cartilage graft. If you choose to have cartilage grafts, wait another 4-6 months.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 32 reviews

Dent and rhinoplasty revision

A filler may be worth it for a small asymmetry and help avoid surgery, but it is not permanent.  You may need a cartilage graft of some sort for longer lasting results.

Steven Wallach, MD
New York Plastic Surgeon
4.0 out of 5 stars 23 reviews

Revision rhinoplasty for dent in nose

Fillers will only camouflage the problem and are a temporary solution which need to be repeated to maintain the effect. A small concavity ("dent") is often best treated with a graft. I'd wait a least a year from your surgery to allow complete healing and so that the final extent of the problem can be analyzed and corrected. Be patient, sometimes this is just the way the healing process occurs in rhinoplasty and small revisions are needed. That's why many consider it to be the most challenging of cosmetic procedures.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.5 out of 5 stars 8 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.