Left with dent in my nose after septoplasty. Do I need rhinoplasty revision? (photo)

A septoplasty should not change the exterior shape of the nose except maybe a bit at the bottom of the columella. Often times a dent can be improved with filler or silicone before undergoing surgery. Be sure to see a rhinoplasty expert for consultation.

Based on your photos, we can see the indentation above your tip that is giving me appearance of a small dorsal hump. Microdroplet Silikon-1000 nasal injections may be considered for permanently improving your nasal profile appearance by filling in the indentation, and camouflaging the small bump. I hope this helps! Sincerely, Dr Joseph

Thank you for your question and for sharing your photographs. Although septoplasty is designed to preserve the support from the nasal septum to the nasal tip, it can alter the relationships of the ligaments that stabilize the tip cartilages. As a result, if the tip cartilages are moderately soft, there may be a slight loss of tip projection and a changed relationship with the nasal bridge.

To restore adequate tip support, graft material may be necessary—either from the nasal septum, if still available, or from rib cartilage. However, addressing the silent sinus syndrome should be the priority, as it is an evolving condition that must be stabilized before proceeding with further nasal aesthetic interventions.

Hello and thank you for your question. Based on your photographs, a revision rhinoplasty to reestablish dorsal support will fix this issue. 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

A cosmetic rhinoplasty can accomplish filling in the dent as shown on your photographs, or shaving down the residual dorsal hump above the dent itself. Rhinoplasty is a very difficult endeavor, so choose your surgeon very wisely based on extensive experience producing natural results.