Can fillers safely fix dent on nose tip post revision rhinoplasty? (photos)

Question

After mutiple revision surgeries I'm left with a round dent on the side of my nose tip which is very obvious. Please help me understand what kind of treatment is most suitable for this dent on my tip and what are the risks? I'm hoping fillers would be the answer as I don't want to undergo anymore surgeries. Is it too dangerous to do filler in this area? How long should I wait before I can get the filler because this is bothering me a lot. Thanks

Nelson Lee Novick, MD · Answer

First, let me say that I am sorry that after all the surgeries, you are suffering with this problem. The use of a filler of course would be one logical approach to elevate and smooth the residual dent. I am not a fan of permanent fillers, like silicone or Bellafill, since permanent fillers can mean permanent complications that may not occur immediately, but may appear five, ten or even twenty years following treatment. Caution must always be exercised in injecting the nose with a filler, owing to the nature of the vasculature in such a relatively confined region. However, extra caution is needed when injecting a nose that has undergone prior surgery, since the blood supply is likely to be even more compromised as a result of the prior surgery(ies).  For this reason, I would consider the use of subcision, a procedure that I have personally been performing since 1994. It is a quick, simple and relatively inexpensive technique that is used to permanently elevate dents and depressions of all kinds by breaking up downwardly tethering scar collagen bands and stimulating new collagen, elastic fiber, and dermal matrix formation. You can learn more about this procedure by checking out the archives of RealSelf.com . Make sure that you consult with a board certified aesthetic physician. Best of luck.

Eric M. Joseph, MD · Answer

And examination would be required, however, small nasal indentations after rhinoplasty may be well-suited for a permanent filler. Hope this helps. Dr. Joseph

Horizon Plastic Surgery · Answer

Hi Loulou
I am sorry to hear about your surgical journey. Filler may not perfectly improve the contour but it will certainly make it better.  I would definitely advise trying filler in the short term before embarking on any more surgery as I think this is a sensible approach.  It is sae to use in this area and can be done now.
All the best.

Can fillers safely fix dent on nose tip post revision rhinoplasty? (photos)

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Can fillers safely fix dent on nose tip post revision rhinoplasty? (photos)

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Everything you need to know about Nonsurgical Nose Job

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