Is a rhinoplasty my best option for a more defined nose? (Photos)

Thank you for your query. A tip rhinoplasty is your best option, based on your photographs and the concerns you have expressed. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

From what I can glean from the photos: the dent is there because of the prominence and strength of the two cartilages that form the tip of your nose; the dent is the space between those cartilages. What would be done to minimize the dent depends in part on whether there are other areas of your nose that you might want to change at the same time. When more is done, usually there are more options for doing something else, like fixing a dent.

If the dent is truly the *only* thing you want to change about the nose, the options as I see them are: 1) don't fix it, just leave it alone. Many people have small dents like that, and it's off the radar of most people, meaning they'd never see it unless you point it out. 2) A surgical fix would entail opening the nose, getting some cartilage from your septum, crushing the cartilage up and using it like spackling to fill out the dent. That would have to be done very judiciously, in order to NOT make the tip look bigger. Almost certainly the goal would be a substantial reduction but not total elimination of the dent. It would be unusual to approach a real operation with that small goal, but it's not crazytown: with care it can be accomplished with some reasonable amount of predictability.

I wouldn't use filler. It's either temporary, or it might go in places you don't expect, or it might make things look too big, or you might get one of the rare complications.

That's my two cents!

Personally I don’t find your nose unattractive at all. You could try filler to fill in the deep spot if you like. Personally I wouldn’t even bother with that