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Toronto, Canada

Post Rhinoplasty - Dent on right side

I had rhinoplasty exactly two months ago. I asked for a subtle changes as I had two unsuccessful rhinoplasties almost 14 years ago and didn't want a dramatic change. The doctor, brought down the bridge, slimmed down the tip and added a cartilage graft for more projection. I have very thick skin and the nose is still quite swollen. The day after the cast was removed I noticed a dent or depression on the right side, above the nostrils next to the bridge in the middle. This seems to have caused a dark shadow, which I'm quite self conscience about. I spoke to my doctor about it, who by the way is very kind and patient and is highly regarded by his other patients. he said that it's still quite swollen and will balance out eventually.

I guess my question is why and how this dent developed and if it will eventually balance out. I'm trying to be positive and patient but sometimes I think, what if it doesn't balance out. I should mention that the left is still quite swollen as well and I have bumps next to the nose and one under my eye and between my eyebrows. The doctor said these are common and that they should go away in time.

Overall, there is still a lot of swelling that needs to come down but my biggest concern is the dent. Any advice would be greatly appreciated.


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Doctor/Professional Answers (3)   


Plastic surgeon
Miami, FL
United States
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April 6, 2011 3:04 AM

Photos would help but only 2 months after op. You need to wait or obtain other in person opinions. From MIAMI (more)
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Plastic surgeon
Beverly Hills, CA
United States
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January 10, 2010 11:10 PM


It would be best for you to listen to advice of your physician, as he/she knows the extent of your surgery and exactly what was performed. With thick skin, swelling usually (more)
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Plastic surgeon
Southlake, TX
United States
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  Irregularities after Rhinoplasty
January 9, 2010 10:12 AM

I think the best idea is to ask the doctor what he thinks is causing the irregularities and if perhaps some fillers might be indicated.

Thicker skin takes much longer for swelling to (more)
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Member Comments (4)

  Same issue
December 1, 2019 9:54 PM


I know this post is old but I'm having the same problem, visible dent on left side between the bone and cartilage. Did your dent disappear eventually? My doc says that it's still very swollen too as it's been 2 months only but I'm concerned that it may need another surgery. Please let me know if your dent healed and disappeared on it's own. Thank you!

  blocked uo nose and indentation
June 16, 2019 8:50 AM

I had a rhinoplasty revision over3 weeks ago I can not breath through my nose which effected. My nose is completely blocked up and the cartilage graft is very visible in both sides of my nose. In addition, there is a huge indentation on the left side of my nose. I will not be able to see my surgeon for another months. I texted him and sent him a photo of my nose. He said is swollen and it will heal itself. I'm very concern especially about my breathing as I'm asthmatic and cant sleep at night. Please advise!

  Patience may be the key
May 17, 2012 6:48 AM

Looks like this might be pretty common because I just had my surgery 3 weeks ago and the same thing is happening to me. What I think, my right side nostril is swollen and left side is not; with the right side nostril being more swollen and thick, it may be giving the bridge right above it the appearance of a den.

In comparison to the left nostril that is a lot less swollen so the bridge line falls more seamlessly on that side. I believe it is a result of uneven swelling, as the entire nose does not heal at the same pace.

Also, if you sleep on your right side, that could affect it, not sure. I plan on sleeping on my left side for a while to see if it helps with the swelling on the right nostril.

That's just my take on it. I know it can take up to 36 months for everything to COMPLETELY heal and resolve itself especially if you have thick nose skin and open rhinoplasty.

I don't plan on doing anything until I'm 24 months out, because I seen how much a nose can change from 12 months to 24 months and I would not want to prematurely start making adjustment via revision surgery or using fillers until my nose is FULLY healed and that takes at least 24 to 36 months!

Houston, TX
United States
August 25, 2010 7:23 PM

I am having the same issue. The scary thing is my dr is not sure what it is, and nothing he said seemed confident. What was your follow up to this? How did it all work out??



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