• Revision
  • Nasal tip

If the tip feels dented 2 years after hump surgery — criteria for telling whether it's a side effect

2025. 11. 13.

An answer to an actual inquiry about feeling a dent between silicone and ear cartilage 2 years after hump surgery — why subtle changes appear at the tip, plus a case correcting a deviated hump nose through hump osteotomy.

Key points

  • The tip is an area where movement and pressure are repeatedly transmitted, so its shape can change subtly over time after surgery.
  • A slightly indented feel between silicone and ear cartilage can relate to expression/muscle action or tip position change — but touch alone can't conclude it's a normal change.
  • Still, if the sunken-looking appearance keeps bothering you, consulting the specialist who performed the surgery to review additional correction direction helps.

The nose sits at the face's center — a delicate area where even small changes greatly affect the overall impression. Especially the tip, where movement and pressure are repeatedly transmitted, can change shape subtly over time after surgery. That's why many people worry over even small changes appearing at the tip.

Based on an actual inquiry case, this article organizes what subtle changes appearing around hump surgery mean.

01

A dent-like feel between silicone and ear cartilage — is it a side effect?

A subtle boundary sensation alone can't conclude a side effect — but a new depression, or pain, redness, or shape change, must be checked directly.

> It's been about 2 years since I had my hump refined and my nose made with silicone and ear cartilage. It's not very noticeable, but the area between the silicone and ear cartilage feels dented, which worries me. Why does this happen? It looks natural sometimes and not others, so I'm torn.

In the photos, the state wasn't severe. The tip area moves a lot — cartilage and soft tissue can get pressed by expression changes or muscle action, making that area look slightly indented. Also, this kind of feel sometimes appears as the tip line stabilizes over time.

This is a change frequently observed around hump surgery too — it doesn't signify a particular problem. Since it may be temporary or a change from individual tissue differences, there's no need to be too anxious. Still, if the sunken-looking appearance keeps bothering you, consulting the specialist who performed the surgery to review additional correction direction also helps. When to consider revision surgery can be seen in the revision rhinoplasty guide.

02

How is a deviated hump nose corrected? — a hump osteotomy case

In this case, the osteotomy scope was planned by checking the deviated bridge's center and the nostril asymmetry cause together while refining the hump.

Deviated hump noses often have irregular nasal base height levels, making the surgical process trickier. Also, even if it looks well corrected right after surgery, it can shift again over time — caution is needed. If the nose is bent largely even in front view, it's a structure where septal deviation easily accompanies.

In this case, the approach went as follows.

  • Correction plan centered on hump osteotomy — the plan was built around osteotomy to straighten the deviated hump nose.
  • Guidance on possible cartilage shortage — considering that septal cartilage for grafting might not suffice, it was fully explained beforehand that ear cartilage could supplement if short, then surgery proceeded.
  • Tip-lowering correction and height adjustment — since the bridge wasn't originally low, height was adjusted slightly along with tip-lowering correction; tip depressor resection was performed together in the process.

After surgery, the bent nose line was corrected straight, and the nostril width and shape, and nostril size and form, settled more balanced than before. Swelling and redness remained at a point not long after surgery — this is a natural recovery course that stabilizes over time.

03

Why is the tip designed slightly higher right after surgery?

The original case is explained as setting the initial height considering tip position change during recovery. Still, this can't be seen as an overcorrection principle applied to every nose — a safe range must be set individually within skin and support structure.

This connects with the first question's case too. The tip is an area whose line goes through a stabilizing process over time — so the immediate post-surgery appearance doesn't stay as-is; it settles through subtle changes. The initial height gets set with that change range factored into the calculation.

04

Summary — distinguishing subtle changes from problem signals comes first

A subtle tactile change felt at the tip about 2 years after surgery is often within the range that can appear from the frequently moving tip area's characteristics and the line's stabilizing process. Rather than getting anxious first, the safe order is getting the state confirmed and reviewing additional correction direction when the appearance bothers you.

If post-surgery changes worry you, your state can be confirmed in a 1:1 video consultation. Hump correction cases can be seen in the before & after photos.

Frequently asked questions

Answers to common questions patients ask before a consultation.

If the tip looks slightly indented 2 years after surgery, is revision needed?
The tip area moves a lot — cartilage and soft tissue can get pressed by expression or muscle action, making it look slightly indented, and it can also be a change appearing as the line stabilizes. It doesn't signify a particular problem, but if the appearance keeps bothering you, consulting the specialist who operated about additional correction direction helps.
Why is a deviated hump nose trickier to operate?
Because deviated hump noses often have irregular nasal base height levels, and even if they look well corrected right after surgery, they can shift again over time. If the bend is clear in front view, it's a structure prone to accompanying septal deviation — more careful planning is needed.
What happens if septal cartilage runs short?
If septal cartilage for grafting isn't sufficient, ear cartilage can be supplemented and used. This possibility is guided in advance before surgery proceeds.

Responses to treatment and recovery progress vary by individual. Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.

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