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

Hi Miss Mex,

It appears that you may have an inverted left lower lateral nasal cartilage that is concave instead of the normal convex.  This would have to be confirmed on an actual physical examination.  If that is the case, and it bothers you aesthetically, it can be corrected by nasal surgery.  The offending piece of cartilage is excised, flipped, and then sutured back in place correcting the problem.  Choose your rhinoplasty surgeon most carefully.  Good luck and be well.

Dr. P

That little depression is known as the soft triangle of the nose and, as you note, it is more noticeable on one side than the other. Do not try to get it fixed. It is actually a desirable feature of a nicely shaped nose. Overall your nose looks quite nice so don't mess with it, you would be making a mistake.

The indent you're referring to is your alar groove. While it might be more pronounced on your left side it is dramatically enhanced by the lighting in the first two photos you've posted. The lighting "flattens" the right side of your nose and enhances shadowing on the left side in the first two photos. Filler could potentially soften this but you're best off ignoring it. You have a very attractive face and everyone notices your eyes and brows and are unaware of the groove that troubles you. I hope this information is helpful.

Stephen Weber MD, FACS

Lone Tree Facial Plastic Surgeon