54 year old female & always had small dent on nose but it's gotten worse, what can I do? (Photo)

Dent on the side of nose: my first question is, did you have prior nasal surgery? Since you did not mention that, I presume you did not. A thorough evaluation of what’s causing the dent would be easier in person. However in most cases like that a Cartilage Graft would be used to fill in the dent. There are various ways of doing this, but a nice shaped Cartilage for this type of use can often be harvested from the back of the ear. If that’s all that was involved, it could be a rather small procedure done under local anesthesia. If there is more involved, such as a severely deviated septum, then that would have to be addressed as well.

Hello Linda,

The lower lateral nasal cartilage on your right is concave while the one on your left (the normal anatomy) is convex. The best treatment is to have a tiplasty nasal surgery where the cartilage is flipped over and sutured into the normal position. With the advent of injectable fillers, there may be a temporary fix, I would not recommend as it is temporary and dangerous in this part of the nose. Choose your rhinoplasty surgeon most carefully. Good luck and be well.
Michael Persky, MD
Encino, CA