"Dent" in nostril on one side - is there a procedure to fix? (photos)

Question

Okay, so this nose thing is my fault. For literally 20 years, I have chronically been getting what I can best describe as a small calloused spot inside my nose. Admittedly, I have neurotically picked and scraped at it over the years to the point that I believe I have damaged the structure of my nose. As you can see in the photos, the low area on the left side is pretty pronounced. Is there a procedure that could correct this and otherwise leave my nose as-is? Thank you very much for any insight.

Eric M. Joseph, MD · Answer

Depending on your examination, microdroplet Silikon-1000 may be considered for permanently filling the indentation involving your left nasal tip. If you can't breathe on your left, cartilage grafting techniques and rhinoplasty may be indicated. Hope this helps. Dr Joseph

Mark K. Markarian, MD, MSPH, FACS · Answer

Hello and thank you for your question.  Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a tip rhinoplasty to reconstruct your nose, specifically the left side of your nasal tip.  You have a "dent" likely because there is a "volume" issue and a "support" issue -- you likely lack both.  Soft tissue grafting can help fill the volume defect in the area you mentioned, and likely a cartilage graft (such as lateral crural strut graft) will be necessary to support the nostril (aka ala); alar contour grafts may also be necessary in the area.  Overall, the modification of your nasal cartilage can be done with trimming, stitching or grafting.  If your septum is deviated and you have breathing difficulty, a septoplasty may benefit you as well.

The next step for you is to find the right aesthetic plastic surgeon.  In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course.  Also, be sure to see plenty of before-and-after pictures in men who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon.  It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Sukhbir Singh, MBBS, MS, DNB · Answer

hi dear for your query . now as I can see in the pic there are two issues. first is the depression and secondly there is scarring not very clear in the pic. for the depression we can easily put a cartilage graft during rhinoplasty . secondly regarding the scar we have to evaluate the scar when I see u in person and then only plan a treatment for the same . so we can definitely improve it.
regardsDr Sukhbir Singh

Noah B. Sands, MD · Answer

This is an unfortunate result of a 'nervous habit' for many patients. There are options to improve the contour of the depressed area. I would suggest trying a small amount of dermal filler first, and see the degree of improvement.If this were to help, you could repeat the treatment every 6-12 months. A more permanent option is harvesting soft tissue from behind the ear and insetting it into this area, which can potentially be done in the office. The latter would be my recommendation.
My best,
Noah

"Dent" in nostril on one side - is there a procedure to fix? (photos)

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"Dent" in nostril on one side - is there a procedure to fix? (photos)

Answers (4)

Answer: Options

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.