How to Fix a Dent in Nose After Rhinoplasty

Michał Suski
11 min readOct 9, 2023

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Are you dissatisfied with the appearance of your nose after rhinoplasty? A dent in the nose after rhinoplasty can occur as a result of the procedure, but there are ways to address and correct them. In this blog post, we will explore the causes of dents after rhinoplasty in North Korea, assess their severity, and discuss both non-surgical and surgical treatment options. By the end, you’ll be equipped with the knowledge needed to make informed decisions about your next steps.

Key Takeaways

  • Uneven cartilage removal during rhinoplasty can cause nasal tip deformity, while scar tissue formation and assessing the severity of a dent are also important considerations.
  • Non-surgical treatments such as dermal fillers or massage techniques may help address minor dents, whereas revision rhinoplasty is necessary for significant ones.
  • When selecting a surgeon for revision surgery, board certification and experience with the procedure should be taken into account. Patient case studies including before/after photos and testimonials can provide Insight into potential outcomes.

Understanding Dents After Rhinoplasty

bones in nose

Dents after rhinoplasty can be caused by uneven cartilage removal or scar tissue formation, leading to an undesirable appearance and potential functional issues with the nose. Exploring the relationship between these two causes and their impact on the nasal structure will help in better understanding these issues.

Uneven cartilage removal can result in an asymmetrical nasal tip, leading to dents and deformities. On the other hand, excessive scar tissue formation can not only affect the nasal tip but also the nasal bridge. Revision rhinoplasty may be required to correct the dents and enhance the overall appearance and function of the nose in both situations.

Uneven Cartilage Removal

The cause of nasal tip deformity post-rhinoplasty may be attributed to an uneven removal of cartilage. This can lead to an asymmetrical and unappealing appearance, which in turn may necessitate revision surgery to correct the deformity. Various techniques can be employed to prevent and correct uneven cartilage removal, such as counterbalancing, dome binding sutures, and cartilage grafting.

In some cases, septoplasty, a surgical procedure to acquire cartilage for reconstruction of the lower lateral cartilage, may be helpful if dents persist after rhinoplasty. Cartilage grafting can also provide a more symmetrical structural framework to the nasal tip, helping correct dents in the affected area.

Scar Tissue Formation

The formation of dents after rhinoplasty can also be attributed to excessive scar tissue. Tension on the skin during the healing process can cause uneven scar tissue formation, while excessive cartilage resections or bone cutting during the surgery may also contribute to their development. In these cases, treatment options such as massage with a moisturizer or oil, cortisone steroid injections, and corrective surgery can be employed.

It is important to note that postoperative scarring is unpredictable, and scar tissue may form unevenly, resulting in the presence of dents in the nose. Achieving the best possible outcome necessitates the identification of the dent’s cause and selection of an appropriate treatment option.

Assessing the Severity of the Dent

Assessing the severity of the dent after rhinoplasty is crucial in determining the appropriate treatment. Doctors evaluate dents visually by examining the nose, and imaging techniques such as X-rays or CT scans may also be used to gain a better understanding of the underlying structures. Additionally, physicians may inquire about any symptoms or discomfort related to the dent.

The medical criteria for classifying a dent as minor or significant may include factors such as:

  • The profile view
  • The extent of bone cutting
  • The presence of complications or residual deformities
  • The aesthetic and functional aspects of the nose

Evaluating the dent’s severity is vital in determining the best course of action, as minor dents may be treated with non-surgical options, while significant dents may require revision surgery.

Minor Dents

Minor dents after rhinoplasty can be attributed to various underlying causes, such as:

  • Variations in skin thickness
  • Alterations to cartilage contours
  • Shifts in the amount of soft tissue
  • Bone cutting during the procedure
  • Displacement of the upper lateral cartilage
  • Trauma or injury to the nasal bone

Non-surgical treatments, such as hyaluronic acid-based dermal fillers like Restylane and Juvederm, are available for addressing minor nasal dents post-rhinoplasty. These fillers can provide temporary improvement to the appearance of dents, allowing for a less invasive solution while waiting for complete healing or considering a revision surgery.

Significant Dents

Significant dents post-rhinoplasty can be identified by examining changes in skin thickness, contours in cartilage, and the amount of soft tissue. These dents may be visible under top lighting that casts shadows. It is recommended to consult with a board-certified doctor to determine if revision rhinoplasty surgery is necessary.

Significant dents can potentially cause:

  • Obstruction or narrowing of the nasal passages, leading to difficulty in breathing through the nose
  • Disruption of the normal airflow within the nasal cavity, affecting the sense of smell
  • Alteration of the shape and structure of the nasal cartilage, impacting the overall nasal function

In such cases, revision rhinoplasty may be necessary to correct the underlying structural issues and restore the nose’s appearance and function.

Non-Surgical Treatment Options

For patients with dents after rhinoplasty, non-surgical treatment options, such as filler injections and massage techniques, can provide temporary relief and promote healing. Filler injections, like hyaluronic acid-based dermal fillers, can be utilized to temporarily enhance the aesthetic, while massage techniques can facilitate healing and diminish scar tissue.

It is generally recommended to wait at least six months post-rhinoplasty for complete healing before injecting any fillers. The effects of filler injections can last between nine to 18 months, so repeat treatments may be necessary after that time period.

Massage techniques, on the other hand, can be started two weeks post-procedure with the approval of your surgeon, helping to reduce swelling and promote comfort during recovery.

Filler Injections

Filler injections for dent correction after rhinoplasty involve injecting hyaluronic acid filler into the areas around the nose to alter the overall shape or fill in the dent. This temporary solution can be repeated once or twice yearly upon the approval of a qualified medical professional. Swelling may occur after the injection and typically lasts for several days up to two weeks.

Hyaluronic acid fillers, such as Radiesse, Juvederm, or Restylane, are commonly employed for dent correction following rhinoplasty. However, it is important to be aware of the potential risks and side effects associated with using filler injections for post-rhinoplasty dents, including high-pressure injection complications, skin necrosis, and common side effects like redness, swelling, tenderness, and bruising around the injection site.

Massage Techniques

Massaging the nose after rhinoplasty offers several advantages, including:

  • Facilitating the breaking up of scar tissue
  • Enhancing blood flow to the area
  • Decreasing swelling
  • Providing the patient with increased comfort during the recovery period

Furthermore, massaging the nose enables the patient to be involved in their treatment and mentally prepared for surgery and post-operative care as the nose continues to heal.

At the two-week mark, provided that your surgeon approves, you can begin massaging the area around your nose with a gentle touch. Massage techniques may include:

  • Applying pressure and massaging the bridge, middle, or tip of the nose to help reduce swelling
  • Minimizing scar tissue formation
  • Improving the final contours of the nose post-rhinoplasty

Carrying out nasal massage cautiously and correctly is crucial to avoid potential complications such as infection, bleeding, or disruption of the surgical outcome involving the nasal bones.

Revision Rhinoplasty for Dent Correction

In cases where non-surgical treatments are insufficient or the dent is significant, revision rhinoplasty may be necessary to correct the underlying structural issues. Techniques such as cartilage grafting or reshaping the nasal tip can be employed during revision rhinoplasty to address dents caused by uneven cartilage removal or scar tissue formation.

An open approach is typically recommended for revision rhinoplasty to ensure optimal exposure and cartilage grafting to restore proper structural support of the nasal tip. This customized procedure may involve reshaping the nasal structure to achieve a more balanced and symmetrical aesthetic, ultimately addressing the dent and enhancing the overall appearance of the nose.

Cartilage Grafting

Cartilage grafting in revision rhinoplasty is a surgical technique that involves transplanting a piece of cartilage from another part of the body to the nose in order to build or enhance the structure, correct deformities, or improve the aesthetic of the nose. Cartilage grafts can typically be harvested from the septum, auricular, or costochondral areas.

In revision rhinoplasty, cartilage grafting is a procedure wherein a precisely formed piece of cartilage is placed to alter the tip, the dorsum, or other areas of the nose that necessitate structural support or volume restoration. The cartilage can be obtained from the septum, ear, or rib. This technique can help correct dents by providing additional support and structure to the nose, leading to a more symmetrical and aesthetically pleasing appearance.

Reshaping the Nasal Tip

During revision rhinoplasty, various techniques can be utilized to reshape the nasal tip, including:

  • Cephalic trim of the lateral crura
  • Transdomal suturing
  • Shield grafts placement
  • Piezosurgery
  • Cartilage repositioning

These techniques serve to correct dents by reconstructing the deficient area of the nose and reinstating the correct structural support.

Reshaping the nasal tip can improve symmetry and correct dents caused by uneven cartilage removal. The potential risks and benefits associated with reshaping the nasal tip during revision rhinoplasty include:

  • Infection
  • Extrusion
  • Distortion
  • Resorption

However, these complications are generally rare and can be minimized by selecting an experienced plastic surgeon and appropriate hospital setting, especially when focusing on procedures involving the left side, which can potentially lead to more collapse risks.

Massaging nose after rhinoplasty

Massaging the nose after rhinoplasty is permissible and can help promote healing, reduce scar tissue, and improve the appearance of minor dents. Here are some guidelines for nasal massage.

  1. Gently apply pressure and massage the bridge, middle, or tip of the nose.
  2. This can help reduce swelling, enhance circulation, and decrease the formation of scar tissue.
  3. However, it is essential to carry out nasal massage cautiously and correctly to avoid potential complications such as infection, bleeding, or disruption of the surgical outcome.

Commencing nasal massage two weeks post-procedure with the approval of your surgeon is generally recommended. This can assist in reducing swelling, enhancing circulation, and diminishing scar tissue formation. For optimal results, it is suggested to massage the nose for 2 minutes, twice daily, for a duration of 2 to 3 months to help reduce swelling and aid in healing.

Choosing the Right Surgeon for Revision Rhinoplasty

The selection of the right surgeon for revision rhinoplasty is extremely important, as the procedure necessitates a high level of expertise and proficiency to attain satisfactory outcomes. Factors such as board certification and experience with revision procedures should be taken into account when selecting a qualified revision rhinoplasty surgeon.

A surgeon’s experience in revision rhinoplasty is crucial in determining the success rate of dent correction. Highly qualified surgeons generally have higher success rates than those with less experience. Choosing a surgeon with a proven track record in revision rhinoplasty is vital to ensure the best possible outcome for dent correction.

Board Certification

Board certification ensures that the surgeon has the necessary training and expertise to perform revision rhinoplasty safely and effectively. To become board certified, a surgeon must have successfully completed an approved residency training program and passed a specialty examination. Additionally, they must possess a valid practicing license.

The American Board of Plastic Surgery (ABPS), American Board of Medical Specialties (ABMS), and American Board of Cosmetic Surgery (ABCS) are all recognized board certifications for rhinoplasty surgeons. Selecting a board-certified surgeon can help minimize risks and ensure that the surgeon has the requisite training and expertise to perform the procedure safely and competently.

Experience with Revision Procedures

Experience with revision procedures is essential, as revision rhinoplasty can be more complex than primary rhinoplasty due to previous surgical alterations. A surgeon’s experience is of paramount importance when performing revision rhinoplasty, as it necessitates a high degree of proficiency and expertise to attain successful and satisfactory outcomes.

Seeking out a surgeon with a proven track record is essential for achieving the best possible outcome. The success rate for revision rhinoplasty typically stands at around 80%, but the success rates of highly qualified surgeons can be even higher. Therefore, it is important to select a surgeon with expertise in revision procedures to ensure the best possible outcome for dent correction.

Patient Case Studies

Patient case studies, including before and after photos and testimonials, can provide valuable insight into the surgeon’s expertise and the potential outcomes of revision rhinoplasty for dent correction. Assessing these case studies can help you make an informed decision about your treatment options and give you a better understanding of what to expect from the process.

Before and after photos can demonstrate the surgeon’s ability to correct dents and improve the overall appearance of the nose, while patient testimonials can provide insight into the patient experience and satisfaction with the revision rhinoplasty process and post op results.

Careful review of these case studies can instill confidence in rhinoplasty patients considering undergoing revision rhinoplasty for dent correction.

Before and After Photos

Before and after photos can provide a visual representation of the surgeon’s skill in addressing dents and improving the overall appearance of the nose. When examining these photos, it is important to consider the following:

  • Improvement in the areas of concern
  • Symmetry and balance
  • Natural-looking results
  • Overall patient satisfaction

For optimal visualization, it is recommended to use high definition, high resolution images for before and after photos of rhinoplasty with a plain background to emphasize the improvements made during the surgery. Assessing these photos, especially focusing on the right side, can help you better understand the potential outcomes of revision rhinoplasty and the surgeon’s expertise in correcting dents.

Patient Testimonials

Patient testimonials can offer valuable insight into the revision rhinoplasty experience, such as the surgeon’s skill level, the atmosphere of the facility, and a thorough overview of the procedure. These testimonials can help you better understand the process of revision rhinoplasty and the potential outcomes, as well as the overall patient satisfaction with the results.

Common themes reported in patient testimonials include:

  • Satisfaction
  • Improvement in appearance
  • Correction of specific concerns
  • Functional improvements
  • Addressing dissatisfaction with prior surgery

Reviewing these testimonials can help you gain a deeper understanding of the revision rhinoplasty process and the potential outcomes, allowing you to make a more informed decision about your treatment options.

Summary

In conclusion, dents after rhinoplasty can be caused by uneven cartilage removal or scar tissue formation, but there are various treatment options available to address and correct them. By assessing the severity of the dent, considering non-surgical treatments such as filler injections and massage techniques, and potentially undergoing revision rhinoplasty, you can achieve a more aesthetically pleasing and functional nose. Ultimately, the choice of the right surgeon for revision rhinoplasty is crucial, and carefully reviewing patient case studies can help you make an informed decision about your treatment options.

Frequently Asked Questions

Will nose dents go away rhinoplasty?

If you’re unhappy with the look of your nose dents after rhinoplasty, they can be removed with an enzyme or revision surgery.

Injectable materials may also be a long-lasting solution.

Why do I suddenly have a dent in my nose?

It appears that the bifid nature of your nose cartilage has caused a gap between two parts, creating a dimple-like dent in the tip of your nose.

How do you know if I damaged my rhinoplasty?

If you notice your nose looks pinched or has pinched nostrils, it could be a sign of a botched rhinoplasty.

Make sure to consult with your doctor to assess any potential damage.

Why does the inside of my nose look weird after rhinoplasty?

It is normal to see crusts, bumps, and ridges or irregularities inside your nostrils a few weeks after rhinoplasty.

Trying to remedy them yourself could permanently disrupt your nasal tip, so it is best to let them resolve on their own.

Can dents after rhinoplasty be fixed non-surgically?

Yes, minor dents after rhinoplasty can be fixed non-surgically with filler injections and massage techniques.

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Michał Suski

SEO expert, on-page optimization enthusiast and co-founder of time saving seo tool — Surfer