How can I fix this dent on my nose bridge? How safe are injections after rhinoplasty? What exactly is the reason for it? (Photo)

Question

3 years post op

William Portuese, MD · Answer

In these limited photographs, your nasal bones appear much wider than your upper lateral cartilages, so the indentations are in disjunction between your upper lateral cartilage and your nasal bones themselves. A closed rhinoplasty approach can accomplish narrowing your bridge line, smoothing out any irregularities, and making your upper lateral cartilages and nasal bones in a more aligned fashion for better symmetry.

Eric M. Joseph, MD · Answer

Indentations in the nasal bridge may appear many months after rhinoplasty surgery as all swelling dissipates. Our experience, microdroplet Silikon-1000 injections maybe a welcome alternative to surgery for many people when small indentations arise during the healing process. Thank you for your question I hope this is helpful! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, this appears to be an inverted V deformity. For the best long-term result a Revision with osteotomies, spreader graft placement, and a dorsal onlay fascial graft would likely be the best option. 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

Gary M. Horndeski, MD · Answer

You will need a revision of the rhinoplasty with possible cartilage grafting.  Simple injections will not be adequate.

Best Wishes,

Gary Horndeski, M.D.

Rondi Kathleen Walker, MD - Account Suspended · Answer

Thank you for your question. The irregularity on the bridge of your nose (from the photographs) appears to be secondary to an incomplete nasal fractures which give the nasal bridge a wide appearance.  It is difficult to tell from the photograph but it appears you may also have some deviation of your nasal septum.  This gives (from the photograph only) a C-shaped appearance.
I would recommend a surgical revision rhinoplasty possibly using an open technique.
It is possible to correct your nasal irregularity with a filler, but often times the amount of filler required may give your nose a much wider appearance.

How can I fix this dent on my nose bridge? How safe are injections after rhinoplasty? What exactly is the reason for it? (Photo)

Answers (5)

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