Nose dent at the tip - how can this be fixed? (Photos)

Question

I had an Rhinoplasty last year. Now there is an small dent at the tip of the nose. please help me to rectify this small dent. The skin in the dent area is a little red.

Ajaya Kashyap, MD · Answer

Thank you for your query. The small dent is likely from scarring and massage after the procedure helps for about one year. After that a little filler can help. Please discuss this with your surgeon who can examine you and help you with your concerns. All the best!

Kyle Kimura, MD · Answer

Great question and thank you for providing photos!
While I can certainly see the area of concern, it is a little difficult to tell the exact etiology. I would definitely let your rhinoplasty surgeon know, first and foremost, as they may have some insight from your surgery if they expect anything like this to develop. It does appear that there is some continued erythema (redness) to the surrounding area which could be a sign that this area is still healing. I typically tell my patients it takes 12-18 months to heal from a rhinoplasty. 
Hope this helps,Kyle Kimura, MD

Eric M. Joseph, MD · Answer

Based on your isolated photo, you appear to have a bit of retraction, and an indentation, at the anatomical place called your soft tissue triangle. Depending on your examination, a few droplets of Silikon-1000 maybe considered for permanently feeling this in without the inconvenience, downtime, uncertainty, and expense revision rhinoplasty surgery. Thank you so much for this question, and I hope it helps! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, that is a very minor indentation. You could try a small microdroplet of filler or a surgical solution would be placing a small amount of mastoid fascia. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Cengizhan Ekizceli, MD · Answer

Thanks for your question.
A small dent at the nasal tip after rhinoplasty is not uncommon and may result from cartilage irregularities, scar tissue, or loss of structural support in that area. The slight redness suggests possible thin skin or minor irritation, but this can often improve over time.
Correction options depend on the cause:
Minor dents may improve with steroid injections (if scar tissue is the issue) or filler for temporary smoothing.
If it's due to cartilage irregularity or collapse, a minor revision surgery using cartilage grafts (often from the septum or ear) may be needed.
A detailed exam by a board-certified rhinoplasty surgeon will determine the best course.

Nose dent at the tip - how can this be fixed? (Photos)

Answers (5)

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