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

From the very limited photograph presented, you have a concave lower lateral cartlidge in your nasal tip. To make this much more symmetrical to the opposite side will require a cartilage graft harvested from inside the nose to add additional cartilaginous support for both functional and cosmetic purposes to make the nose tip look much more symmetrical. A closed rhinoplasty approach can accomplish improvement with all the incisions placed on the inside of the nose. No external incisions are required, and no painful packing as required either.

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.