I have a dimple on top of my noise. It looks like a butt. Can I get fillers to make it look better? Will I need surgery? (Photo)

Thank you for your photos. You have a noticeable depression in the space between the two cartilages that come together to make the tip of your nose. This can be filled in non-surgically with a filler such as VOLUMA. It is important that your plastic surgeon is not too aggressive in that area as there is a risk of tissue ischemia (lack of oxygen) if too much filler is placed . Another option is to place a small cartilage graft into that area to support the skin upwards and cover the defect. Although this is considered surgical, it is not as extensive as a full rhinoplasty surgery. It is best to see a physician for an in-person examination and the safest and most effective treatment options for your anatomy. Hope this helps!!Johnson C. Lee, MD Plastic Surgery

Thanks for your post and photos. You have a slight indentation caused by a bifid tip cartilage shape, which is very common. A safe injection may offer you some temporary improvement, however, the benefit will naturally disappear and have to be repeated every 4-6 months to maintain. Additionally, injections can be associated with some skin side effects and even skin loss for some. Surgical options include rhinoplasty. An open approach procedure can be performed to offer you lasting, permanent benefit in an experienced surgeon's hands. Consider an in-person consultation with a reputable rhinoplasty surgeon to discuss your best options. Best wishes.