Indentation in Bottom of Nostril, Left After Rhinoplasty, Why is This? (photo)

The indented area at the the base of the columella where it meets the nasal sil (nostril base) is most likely a 'relative' depression.  In other words, the columellar skin was dissected and remains significantly swollen at 1 month following rhinoplasty.  The nasal sil region was not dissected and did not suffer nearly the same degree of swelling.  Hence the columellar skin stands out further than the nostril base.  In time the contour should significantly improve.  If they are not still to your liking then a minor revision procedure will be necessary.

Mario Imola, MD, DDS, FRCSC.

 

Though it is difficult to tell from your photos and without knowing the intraoperative details of your surgeon, it appears that the indentation you are seeing is a result of scarring from an open rhinoplasty.  Your nose and scars will continue to change and improve a significant amount over the next year, thus it is too early for any type of revisionary or corrective procedures.  If, however, after a year you are still unsatisfied, you may consider scar revision, dermal fillers, or even micro fat grafting to fill out the indentation.  In the meantime, relax and try to be patient.  

Jaime Perez, M.D.

Plastic Surgery Center of Tampa, Florida

Rhinoplasty Specialist in Tampa, Florida

The photos does show an indentation in the nostril sill. Most likely a surgery issue caused this. Try a filler or even scar revision as a plan.