6 months post-op & think skin, do I have an inverted V deformity? (Photos)

Question

Im almost 6 months post op from primary rhino. I have thick skin. There’s been a weird shadow appearing on the right side of my nose that has been really bothering me that is very noticeable in certain lightings that makes my bridge look interrupted. My surgeon said once everything heals maybe we could do filler but I’m very disappointed and sad. It wasn’t there before.

Eric M. Joseph, MD · Answer

If you have an indentation along the bridge of your nose that would benefit from fillers, depending on your examination, microdroplet Silikon-1000 injections may be considered for filling these indentations for permanent Improvement. Thank you for your question and I hope this is helpful. Sincerely, Dr Joseph

J. Renee Booth, MD · Answer

After surgery, the body sometimes will make extra scar tissue (collagen). This can be seen more often in young patients like yourself. A steroid such as kenalog and another anti-scar medicine called 5-fluorouracil can be injected to help the area calm down. It is reasonable to ask your surgeon to inject the area. Some patients need a mix of the 40mg/mL and 10mg/mL doses of kenalog. Since the area has gotten thick, I would recommend at least 0.1 mL of 40mg/mL mixed with 0.1mL of 10mg/mL and then add 0.1 mL 5-fluorouracil. Often, it takes a series of injections every 3-4 weeks for at least 5 months. Awhile after you get the series of injections, then it is reasonable to address the thick skin with laser treatments (or dermabrasion though this is used less often nowadays). The skin can also be tightened with laser. Another skin tightening procedure is radiofrequency microneedling (such as Morpheus8 or Profound RF). Hopefully the issue is resolved with the previous treatments, but if not, filler can help the contour of the bridge and can last longer in the nose than it does in other areas (usually 1 year in other areas).

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of a plastic surgery procedure we generally need to see a complete set of proper before and after pictures.
Rhinoplasty is not an operation. It is a general umbrella term for many different operations used to change the shape of the nose.
 In order for us to understand what was done we would need to know exactly what type of rhinoplasty you had? If you want a proper second opinion assessment, then I suggest you schedule that as an in person consultation with another provider.
For second opinion consultations, I recommend patients come prepared to bring with them a complete set of proper before and after pictures, and a copy of your previous operative report.
 Best,
Mats Hagstrom, MD

6 months post-op & think skin, do I have an inverted V deformity? (Photos)

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6 months post-op & think skin, do I have an inverted V deformity? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.