Why is There an Indent in my Nostril when I Smile?

       This is a bit subtle, but this can be improved with a variety of approaches.  I am not sure I would necessarily recommend a rhinoplasty for this, but I would have to examine you in animation and in relaxation.   Find a plastic surgeon who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

 The  nostril indention can be caused by  the a concave or inverted lower lateral cartilage on the affected side, and a active depressor septae ligament the tethers the tip downwards upon animation. Both of these can be addressed with a rhinoplasty procedure.