Why Do I Have a Dent On My Nostril But Never Had a Nose Job?

It is not uncommon for people to have facial and nasal asymmetry. It may be subtle or very obvious. Often the cause of a dent in the tip of the nose is from trauma that you might have sustained as a child and not even remember. Another cause could be an underlying deviated septum. The septum is the center supporting structure for the nose. If the external part is crooked the tip cartilages may warp as a result of asymmetric forces.

   This would have to be evaluated with exam or photos to give any reasonable advice.  If the dent is the result of soft tissue atrophy a filler or fat may be useful.  If the dent is the result of loss of structural support a cartilage graft may be useful.  Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Kenneth Hughes, MD Los Angeles, CA

 A dent in the tip of the nose can be created by a congenital inverted lower lateral cartilage of the tip. In other words, the lower lateral cartilage are concave inwards, not convex. Traumatic injuries to the nose can cause  an inverted upper lateral cartilage. Both could lead to airflow issues. Polyps are treated with endoscopic sinus surgery, and are totally unrelated to any external dents you are noticing on the outside of the nose. See the link below for more information on sinus issues and rhinoplasty

Really need a photograph or an examination to understand the extent or type of nasal deformity that you are describing.  Since the nose is made of both cartilage and bone an abnormality of either one could cause a depression.  It is very common to have an injury to the nose and if the cartilage is damaged it tends to bow toward the side of the injury.  So the etiology of the defect may have started years ago.  A rhinoplasty would likely correct the problem.  

A proper examination of both the inside and outside of your nose is recommended to help determine the cause of what you are seeing and to determine how to best improve your nasal appearance.  At the same time, it would be best to evaluate the status of the nasal polyps so that a proper plan can be formed to improve the outward appearance of your nose while allowing you to breathe through the nose.  Please consult with a facial plastic surgeon who can address both the inside and outside of your nose to help you achieve the results you seek.

Usually the dents seen are irregularities from the cartilage of the nose, but without photos, it is hard to say.

Dents on the outside of your nose are secondary to irregular cartilage.  The cartilage may be irregular secondary to trauma (accident or injury) or because you were born with asymmetric  nasal cartilage.  This problem is corrected with a rhinoplasty either of the tip alone or the entire nose.  The nasal polyps are treated with a sinus operation.

Over the past 35 years I have frequently seen small unwanted inherited nasal contours or irregularities. After an examination the dent can be treated by adding fillers, fat, or a small piece of your cartilage.