Prominent dent in nose, possibly getting deeper. Options? (photos)

I would recommend a rhinoplasty. This will help support the internal/external nasal valves and optimize breathing.

Based on your photos, you are a good candidate for rhinoplasty. The cartilage that makes up the side wall of the nose is curved a little more on that side. During rhinoplasty, that cartilage can be straightened and supported so the dent goes mostly away, creating a tip that looks more defined and triangular. Be sure to see a rhinoplasty expert for consultation.

You have depression of the cartilages that is effecting the breathing. A cartilage graft can be placed in those depressions on each side to support the side walls. This will improve the breathing and the shape of the nose as well.
Regards
Dr. J

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 subtle tip rhinoplasty where the nasal tip cartilage is modified for a more refined, feminine look without the grooving (indents) as stated in your question. I am unable to comment on the dorsum (bridge) of your nose without a profile photo, but in terms of the nasal tip, the modification of your cartilage can be done with trimming, stitching or grafting.

Just an fyi and also important, if your septum is deviated and you have breathing difficulty as you stated, a septoplasty may benefit you as well -- insurance can cover this and reduce the price of your surgery☝️

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 women 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

Based on your photos, you appear to have deep creases above your nostril margins, and the crease on your left is deeper than the crease on your right. If this asymmetry is bothering you, depending on your examination, microdroplet Silikon-1000 injections may be considered for filling these indentations and for providing a more symmetrical nasal tip appearance. I hope this helps! Sincerely, Dr Joseph

Hello and thank you for your question. This indentation and overall appearance of your nose can be improved with rhinoplasty. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon