KOWON Blog
2 years after hump surgery — if the silicone-ear cartilage boundary looks dented, is it a depression?
A consultation case where the silicone-ear cartilage boundary looked slightly depressed 2 years after hump improvement surgery. Why a moving tip area can show that boundary as dented through muscle pressure or tip settling, and when to consult the clinic.

Key points
- In hump improvement surgery using silicone and ear cartilage together, there are cases where the boundary between the two materials feels slightly dented over time.
- The tip is a moving area, so as muscle presses it or the tip settles, that part can look depressed.
- If it isn't severe in photos it's not particularly a problem — but if it bothers you cosmetically, consulting the operating clinic is good.
"It's been almost 2 years since my nose surgery. To improve my hump, that part was shaved and silicone and ear cartilage were used. It doesn't show well in photos, but the silicone-ear cartilage boundary seems slightly depressed. It seems natural-ish but I'm not sure — why is this happening?"
This was a question received in an actual consultation — a case where, not right after surgery but nearly 2 years later, a subtle change at the boundary started bothering them. Here's how to interpret this kind of state.
01
Why does the boundary look dented?
The tip is a moving area, so as muscle presses it or its position settles, the material boundary can look slightly dented. This case was surgery where the hump area was shaved with silicone and ear cartilage used together — and in photos, the depression didn't look severe.
| Possible cause | What kind of change |
|---|---|
| Pressed by muscle | The moving tip area is affected by muscle, making the boundary look dented |
| Tip settling | As the tip position changes, the material boundary becomes relatively more visible |
In other words, a dented-looking material boundary isn't necessarily a signal something went wrong — it's a part that can look that way over time with the tip's movement and position changes.
02
Can it be left alone, or should I visit the clinic?
If the depression isn't severe in photos, it's not particularly a problem. Still, if it bothers you cosmetically, visiting the operating clinic and consulting the doctor who handled it is good.
The judgment order organized:
- 01See the degree — if it barely shows in photos, it's hard to call it a severe depression.
- 02Understand the cause — due to the moving tip area's characteristics, muscle pressure or tip settling can make it look that way.
- 03If it bothers you, consult — regardless of whether it's a problem, if it bothers you cosmetically, getting the state checked at the operating clinic is good.
If the boundary change becomes pronounced or you end up deliberating revision, what to check can be seen in the revision guide.
03
Summary — if not severe, it's closer to a characteristic than a problem
When a material boundary subtly looks dented as time passes after surgery, it's easy to worry about side effects first. But the tip is a moving area, so muscle pressure or tip settling can make it look that way — and if it barely shows in photos, it's often not particularly a problem. Still, if it bothers you, getting it checked at the operating clinic is most certain.
If you're curious about the state before visiting the operating clinic, it can also be checked via a 1:1 video consultation.

Frequently asked questions
Answers to common questions patients ask before a consultation.
A slightly dented-looking boundary doesn't necessarily mean a problem. The tip is a moving area, so muscle pressure or tip settling can make it look that way — and if the degree isn't severe, it's often not particularly a problem.
The tip is an area that keeps moving with expressions, so it can look subtly different over time through muscle influence or tip position changes. This case was also one where a boundary change was felt around the 2-year mark.
Even if it isn't a problem, if it bothers you cosmetically, visiting the operating clinic and consulting your doctor is good. The medical staff who saw the state directly can judge the cause and needed measures most accurately.
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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