I have a dent in the tip of my nose. Any suggestions? (photos)

Question

It feels and looks like the tip of my nose is missing cartilage straight down the middle which causes the dent. Is there any non-surgical options or would surgery be the better solution? I'm not sure what could be done to fix the issue.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin skin and visible asymmetrical tip cartilages. The indent or cleft is between your lower lateral tip cartilages on each side. Depending on your examination, adding volume to this area may lead to improvement. Our experience with non-surgical rhinoplasty is with Silikon-1000, an off-label filler for permanent results.Thank you.Dr Joseph

Alejandro Nogueira, MD · Answer

Do not even think about fillers, NO serious and professional surgeon in the world would advice such thing (potentially destructive and impediment for future corrections) in rhinoplasties, much less in complex congenital issues like yours.You suffer two congenital conditions:-sever cleft tip deformity: this needs correction by means of plasties at the domes, plications to the midline and eventually some cartilage grafting-partial invertion at the dome and dents of congenital origin distorting the normal shape of one alar cartilage: this needs correction by plasties but, much likely, the intraoperative achievement might be poor and the surgeo (if experienced and good one) will replace the deformed cartilage by a new and freshly harvested one (ear's concha as donor site) taylored to fit the contralateral alar cartilageAll that needs open approach.Your congenital and uncommon condition requires the hands of a very very good and meticulous surgeon, a doctor with experience in inverted alar cartilages and complex tip works and grafting.

Ali Adibfar, MD, DDS · Answer

Hello the nose dent you are referring to is the seperation of the two "lower lateral cartilages" of the nose which are noticeable in a thin skin nose.Your options would be:1) surgical rhinoplasty to re approximate the cartilages with sutures2) non surgical use of fillers ( hyaluronic acid) to inject between the skin and cartilage and therefore camouflage the cartilages .  This is more immediate, less expensive but may have to get redone in the future.Thank you

Vincent N. Zubowicz, MD · Answer

The dent you referred to is actually separation of the two cartilages the form the nasal tip. This can be corrected easily by way of a tip rhinoplasty.

Jose M. Soler-Baillo, MD, MS · Answer

It can certainly be improved/fixed. An experienced Board Certified Plastic Surgeon might use suturing techniques among other methods. In-person consultation is necessary. All the best,Dr. ResultsMiami, FL

I have a dent in the tip of my nose. Any suggestions? (photos)

Answers (9)

Answer: A cleft between the lower lateral cartilages can be corrected with a tip rhinoplasty.

Answer: A cleft between the lower lateral cartilages can be corrected with a tip rhinoplasty.

Answer: Rhinoplasty

Answer: Rhinoplasty

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Everything you need to know about Rhinoplasty

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I have a dent in the tip of my nose. Any suggestions? (photos)

Answers (9)

Answer: A cleft between the lower lateral cartilages can be corrected with a tip rhinoplasty.

Answer: A cleft between the lower lateral cartilages can be corrected with a tip rhinoplasty.

Answer: Rhinoplasty

Answer: Rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

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