Columellar strut and saddle deformity after rhinoplasty - what will happen if the depression worsens? (photo)

I'm sorry to hear that you're experiencing complications after your septorhinoplasty. Based on your description and photo, it sounds like you may have developed a dorsal nasal collapse, which is a common complication of aggressive rhinoplasty surgery.

A dorsal nasal collapse occurs when there is weakening or disruption of the support structures of the nose, which can cause the bridge to depress and the tip to rotate upward. This can result in a pinched or scooped appearance to the middle part of the nose, and in severe cases, can even cause the skin to become indented or pulled inward.

If the depression worsens, it may become more uncomfortable or even painful in the columella area, especially if the columella strut has been compromised or is causing tension in the area. However, the risk of the skin tearing is low, as the skin of the nose is relatively thick and elastic.

It's important that you schedule a follow-up appointment with your surgeon to address your concerns and discuss your treatment options. In some cases, a revision rhinoplasty may be necessary to correct the dorsal nasal collapse and restore the support structures of the nose. However, this decision will depend on the extent of the collapse and the underlying causes of the complication. Your surgeon can evaluate your nose and provide a personalized treatment plan for your individual needs.

I hope this helps,
best of luck !

You can Consider a revision rhinoplasty at one year after your primary rhinoplasty. It's important to make sure there's full healing before embarking on another procedure. Also important to have a copy of the operative report find out how much cartilage is left over on the inside of the nose for grafting purposes. You're going to need a cartilage graft along the lower bridge line, remove the columellar strut and de-rotate the tip as much as possible. Choose your second rhinoplasty specialist very wisely based on extensive experience