I have a dent in the tip of my nose. Any suggestions? (photos)
Doctor Answers 9
Surgery to fix the dent in the tip of the nose
Depending on your examination, microdroplet Silikon-1000 may be considered for the indentations on your nasal tip.
Rhinoplasty, Toronto Plastic Surgeon Dr. Adibfar
the nose dent you are referring to is the seperation of the two "lower lateral cartilages" of the nose which are noticeable in a thin skin nose.
Your options would be:
1) surgical rhinoplasty to re approximate the cartilages with sutures
2) non surgical use of fillers ( hyaluronic acid) to inject between the skin and cartilage and therefore camouflage the cartilages . This is more immediate, less expensive but may have to get redone in the future.
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Correcting a dent/cleft in the tip of your nose
A cleft between the lower lateral cartilages can be corrected with a tip rhinoplasty.
You suffer two congenital conditions:
-sever cleft tip deformity: this needs correction by means of plasties at the domes, plications to the midline and eventually some cartilage grafting
-partial invertion at the dome and dents of congenital origin distorting the normal shape of one alar cartilage: this needs correction by plasties but, much likely, the intraoperative achievement might be poor and the surgeo (if experienced and good one) will replace the deformed cartilage by a new and freshly harvested one (ear's concha as donor site) taylored to fit the contralateral alar cartilage
All that needs open approach.
Your congenital and uncommon condition requires the hands of a very very good and meticulous surgeon, a doctor with experience in inverted alar cartilages and complex tip works and grafting.
All the best,
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