Small dent: can you increase bridge height there only 1 mm with diced cartilage? (Photo)

Question

Hi I have a small DENT on the middle third of the bridge of the nose (see GREEN arrow) that really worsens my front nose view, creating the illusion of an inverted V deformity. From side on (90º deg view), it is only about 1 mm down from a straight line. Yet this 1 mm of lower bridge height at the DENT makes all the difference. Can 1 mm be cautiously raised with diced cartilage? How precise is that for very small dents? Will diced cartilage feel natural to the touch? I need to solve this for mental health and move on and I´m not sure fat grafting would give long term definition with sunglasses sitting there for decades to come.

Eric M. Joseph, MD · Answer

Depending on your examination, your small dorsal indentation may be permanently raised with microdroplet Silikon-1000 injections. Our experience over 20 years, this would be the most precise and permanent method of addressing your concern. Thank you for your question. Sincerely, Dr Joseph

Zoran Potparic, MD · Answer

One of the better options when dealing with small dents and irregularities are fillers. They are easy to mold to any shape desired and will stay in the Soraima for long period  of time. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a revision with rasping of the dorsum followed by morselized bone grafts or a fascial dorsal onlay graft. 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

Small dent: can you increase bridge height there only 1 mm with diced cartilage? (Photo)

Answers (3)