My nose has an indent I'd like to fix as well as a deviated septum, what are my options? (Photo)

Question

My nose has a deviated septum and has a dent in the middle .... need to fix it

Steven M. Denenberg, MD · Answer

Click on the "Learn more" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_Newhalldianne.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.
I narrowed the tip of your nose. You can see the outline of the two cartilages because they are strong and curved. Working on those cartilages would narrow them, narrow the tip, and reduce the dent.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Learn more" link on how to stay out of trouble while searching for a rhinoplasty surgeon. You should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read that page very carefully. Most plastic surgeons are quite poor at this operation, and I believe my advice will go a long way toward keeping you safe.
I'd love to hear what you think of the morph. Did it seem to address your main concerns?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery.

Jamil Ahmad, MD · Answer

Thank you for your photos. A rhinoplasty procedure should typically be able to address the concerns you have mentioned. To be able to fully assess your needs, I would recommend you seeing a board-certified plastic surgeon within your area, for an in-person consultation. He or she can then provide you with the best options.

David Tauber, MD · Answer

A surgical septo-rhinoplasty is a powerful procedure that adds, removes, or re-positions tissue in the nose for better aesthetics - often completely reshaping the nose. 
Based on your photos and complaints, the dent in the tip is likely due to splaying of the tip cartilages. The tip is also a bit bulbous / boxy. The shape may be improved by refinement of the tip. This may be achieved by removing some of the cartilage of the tip followed by re-grafting the cartilage to obliterate the dent.  Suture reshaping of the cartilage will create a more delicate tip - finishing the look. The septum can be corrected at the same time.
These are big maneuvers that are often intended to create millimeter changes to the shape of the nose once it heals. The goal is a smaller, more natural looking nose that creates better balance to your face.
  
For more info on rhinoplasty, see the link below.
  
A detailed examination will help delineate the best surgical treatment. Consultation with a plastic surgeon certified by the American Board of Plastic Surgery would be the next best step.

Reza Momeni, MD, FACS · Answer

Deviated septum are treated with surgery if they are causing issues (breathing problems, snoring, etc.).  Small divers on the nose can be helped without surgery with non-surgical rhinoplasty, using fillers to fill the diet, but a permanent fix requires surgery.  Without an exam, it will not be possible to fully evaluate you and give you recommendations.

Luis A. Mejia, MD · Answer

Hi, thank you for the question, the photo is not the best to evaluate this case, but with a septoplasty the deviation can be corrected, i suggest a tip improvement surgery ate the same time.

My nose has an indent I'd like to fix as well as a deviated septum, what are my options? (Photo)

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Answer: Nose problems

Answer: Nose problems

Answer: My nose has an indent I'd like to fix as well as a deviated septum, what are my options?

Answer: My nose has an indent I'd like to fix as well as a deviated septum, what are my options?

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My nose has an indent I'd like to fix as well as a deviated septum, what are my options? (Photo)

Answers (10)

Answer: Nose problems

Answer: Nose problems

Answer: My nose has an indent I'd like to fix as well as a deviated septum, what are my options?

Answer: My nose has an indent I'd like to fix as well as a deviated septum, what are my 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.