How can I remove the indentations next to my nose? (Photo)

Question

Over the years, I’ve developed indentations next to my nose that only appear when I smile. When my face is relaxed, these areas are mostly flat. I’m hesitant to use fillers because I’m concerned they’ll look unnatural when my face is at rest. Is there a procedure or treatment that could reduce the appearance of these indentations? Thank you in advance!

Eric M. Joseph, MD · Answer

We do not advocate fillers for indentations that are present only with smiling. If the indentations were present when you are not smiling, injectable fillers may have been considered. Frankly, I'm not sure how to address those indentations, and I do not believe that they are unattractive. I hope this helps! Sincerely, Dr. Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a rhinoplasty. The osteotomies may help to create a smoother nasal cheek junction. 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

Best wishes and good luck.

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

William Portuese, MD · Answer

Rhinoplasty is performed for static purposes when you're not smiling. The dynamic indentations that you're referring to cannot be improved with a rhinoplasty procedure.

Darryl J. Blinski, MD · Answer

Based on your nicely posted photos this is a muscle action of the muscles around the nose and lower eyelid and can be corrected with Microdosing Botox with HA filler or nano crafting with PRP. Fees range from $3000-$10,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

I generally do not treat facial contour issues that are based on dynamic facial expression.
Doing so will most likely create the wrong outcome in the static face without facial expression.
Typically facial aesthetics are based on static expression less face.
Chasing what happens with contract, muscles of facial expression is unpredictable and often not successful
Best,
Mats Hagstrom MD

George Lefkovits, MD - Account Suspended · Answer

You need to be examined to get a more accurate assessment of your nasal indentations. You may be able to use cartilage or fillers. You can achieve a natural result without fear of artificiality. But you must consult with a Board Certified plastic surgeon and examine his work on fillers regarding  natural results. good luck!

How can I remove the indentations next to my nose? (Photo)

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