What Can I Do for a Small Dent on the Tip of my Nose?

Question

When I was a newborn I had those little tiny white pimple like bumps on my nose. My father didn't know what they were and scratched one off and scarred my nose. I have a tiny dent right in the center tip. What kind of treatment can I get?

Nelson Lee Novick, MD · Answer

I have found that dents on any part of the nose, including those involving the tip, and clefts that some people naturally have or develop with time at the very tip of the nose, are quite amenable to treatment by fillers. For deep clefts or indented scars, I have found the calcium hydroxylapatite-based injectable,  Radiesse, to provide excellent and relatively long-lasting correction. For more shallow defects, heavier particle hyaluronic acid-based volumizers, such as Perlane L may provide gratifying results that may last for an extended period of time, since the region is subject to very little movement that may speed breakdown of the injected material.

	Depending upon the exact nature of the indentation, subcision is another approach that may yield excellent and permanent results, since it depends upon the stimulation of the individual's own collagen production, rather than upon injecting something in.. The procedure is quite simple, The indented region is anesthetized with local anesthesia and a small needle is then inserted under the defect and manipulated in all directions to cut the bands of scar tissue binding down the indented surface. During the next few weeks, native collagen production is stimulated in the area to fill the space created eventually leading to plumping up of the overlying defect. The procedure may need to be repeated several times in order to stimulate the requisite amount of collagen to lift the defect and smooth it sufficiently. The advantage of this technique, when it is feasible, is that the results are permanent.

	Electroblation is still another technique used for smoothing scars and dents whose results are also permanent.  It is best for very shallow dents. Following numbing with local anesthesia, an electric needle is passed over the borders of the defect heating and smoothing them like an iron and blending them more closely with the contours of the surrounding skin. I have found this technique useful even for dealing with animal bite scars on the nose.

Eric M. Joseph, MD · Answer

A small scar causing an indentation in the tip of your nose may respond well to an Injectable Filler treatment. I prefer Silikon-1000 for permanent results. Feel free to email your photo, along with a description, and I'll be happy to share my thoughts with you.

	All the best from NJ

Joseph A. Eviatar, MD, FACS · Answer

A small dent on the tip of the nose can be treated with surgery or filler. I usually like to use Juvederm.

What Can I Do for a Small Dent on the Tip of my Nose?

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What Can I Do for a Small Dent on the Tip of my Nose?

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Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.