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Hard to say without a photo but most columella indentations are caused by separation between the tip cartilages and are easily fixed with suturing. Other causes require different techniques.
The separation of the cartilage in this area is easily corrected with a tip-plasty by placing a cartilaginous strut between the medial crura of the tip cartilage that makes up the columella and then suture it together. There may be more that has to be done which would be determined by examination or a picture.
Please share pictures to evaluate and could help you answer more specifically your question. There are many techniques to fix it.
Thank you for the question! It is rather difficult to fully assess your situation without an in-person exam. That being said, you are likely to have swelling at 3 weeks post-op. It's not uncommon for swelling to be distributed unevenly, which would explain its asymmetrical appearance. I...
Thank you for your question. Internal splint removal may be a bit more uncomfortable if there is a significant amount of dried blood. After rhinoplasty, I recommend that my patients use nasal saline spray frequently throughout the day and gently apply ointment to...
A full set of facial photographs are required to make a determination about which techniques of rhinoplasty would be applicable to your nose. The bridge line can be augmented with an implant or patient's own natural tissues such as cartilage. The bidgeline can also be narrowed to reduce the ...
