Noticeable dimple appeared near tip of nose, will this go away on its own? Why did this happen? (Photos)

Question

Pictures attached, sorry they’re low quality. I’m a trans guy on testosterone right now and my skin has been much more oily than usual (I’ve been having acne problems). Other than that, there’s been nothing else unusual going on. Never had a rhinoplasty. Could this be a sign of something serious? Or just a natural development (possibly from testosterone changes? Is there anything I can do to make this mark go away?

Eric M. Joseph, MD · Answer

We have not seen treatment with testosterone lead to changes in anyone's nasal appearance. That said, you could certainly ask the opinion of your doctor who is treating you. The visible indentation involving your left nostril and tip is at your soft tissue triangle. Depending on your examination, a few droplets of Silikon-1000 maybe considered to fill this for a smoother appearance. I hope this is helpful! Sincerely, Dr Joseph

Yucel Sarialtin, MD · Answer

Hello, and thank you for your question.
From your description, the small dimple near the tip of your nose sounds benign and superficial, especially since you haven’t had any surgical procedure in the area. There are several possible explanations for this kind of change:
Sebaceous gland or small cyst formation due to increased oil production (very common with testosterone therapy).
Localized acne or inflammation that temporarily alters the contour of the skin.
A minor change in the subcutaneous fat or fibrous attachment under the skin, sometimes appearing after inflammation.
In most cases, these dimples improve or resolve on their own once the inflammation subsides and the skin’s oil balance stabilizes. Warm compresses, gentle cleansing, and avoiding aggressive manipulation can help the area heal naturally.
If the dimple becomes red, painful, or starts enlarging, it’s worth visiting a dermatologist to rule out an infected cyst or scar formation. Otherwise, there’s no sign from your description that suggests anything serious.
If the contour irregularity persists after a few months, minor treatments such as microneedling, filler, or subcision can be considered to smooth the area.
Warm regards,Op. Dr. Yücel Sarıaltın, MDPlastic, Reconstructive & Aesthetic SurgeonIstanbul, Turkey

Alejandro Nogueira, MD · Answer

Do a research on nasal anatomy about the weak triangle or soft triangle locate at the crus between the dome of the alar cartilages and their lateral cruras.

Nothing wrong is happening to you, you've been born, like many individuals, with an overly large weak triangle, typical feature of boxy tips and verticalized lateral cruras, some changes in your anatomy made your overlying tissues thinner and you aware of it.

Guray Yesiladali, MD, FEBOPRAS · Answer

Thank you for your question&mdash;it’s great that you’re being observant and proactive about changes in your skin and facial structure.
While the photos are a helpful start, they are limited in quality and scope. When it comes to evaluating a new indentation or contour irregularity, especially one that appears near the nasal tip, it’s important to examine the area in person. That allows a professional to assess not only the skin surface but also the underlying soft tissue, cartilage, and support structures.
Since you’ve never had rhinoplasty and are currently undergoing hormonal changes, it’s possible that skin texture, oil production, or localized inflammation may be contributing to the change you’re seeing. Hormonal shifts from testosterone therapy can sometimes lead to acne scarring, sebaceous gland changes, or temporary soft tissue irregularities.
That said, most such indentations are not serious, and may resolve over time&mdash;especially if they’re related to surface inflammation or subcutaneous congestion. However, if it persists or worsens, a consultation with a facial plastic surgeon or dermatologist can help clarify the cause and guide next steps.
In the meantime, keeping the area clean, avoiding pressure or picking, and using a non-comedogenic skincare routine may help reduce local inflammation.
Wishing you clarity and peace of mind as you move forward,Op. Dr. Güray YeşiladalıBoard-Certified Plastic Surgeon

Lucian Ion, FRCS · Answer

Thank you for your question and for sharing your photograph.

I recommend consulting a dermatologist, as this could potentially be a case of localised scleroderma or morphea. It is not possible to provide an accurate diagnosis based solely on photographs, but a skin specialist would be the most appropriate professional to assess this concern and guide you on the next steps.

Anil R. Shah, MD · Answer

Assessing nasal appearance can be challenging due to variations in lighting conditions and the potential for shadows created by facial movements. If the shadow is not visible at rest and is not bothersome, I would leave it alone. Using filler to eliminate shadows can result in an undesirably widened nasal tip. Importantly, the presence of shadows in this context is generally not indicative of a serious underlying condition. Additionally, testosterone therapy is known to potentially cause nasal tissue loss or hypertrophy, which are normal physiological changes associated with testosterone exposure.

Caner Kacmaz, MD · Answer

Thank you for your question. Oil glands under the skin sometimes reacts and causes bumps similar to pimples. This is completely normal and apperas due to swelling of the nose after the surgery. It will disappear do not worry.

Rahul Seth, MD · Answer

Thank you for the question and I'm sorry to hear that you have had these changes. Testosterone can indeed cause changes in the skin, fat, cartilage, and bone of the face. It is likely that a combination of these may have led to the appearance of this depression. In my practice, I perform masculinizing facial surgery to adjust for these contours and create a masculine appearing nose. Being on testosterone therapy for 12 months at least allows for these changes to develop and then a surgery can be done to further masculinize or adjust for the changes that have come about. Feel free to visit the link attached that describes the masculinizing rhinoplasty.

Oakley Smith, MD, FRCSC · Answer

Hi, there are different approaches to address irregularity of the nose surgical vs non surgical. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the solutions that fits you best

Ajaya Kashyap, MD · Answer

Thank you for your query! The dimple that you see on one side of the nose is from  the lower end of the lower lateral cartilage of your nose, and is more common after rhinoplasty.  I have occasionally fixed this “issue” with a tiny bit of a filler injection which seems to last for many years and may solve your problem as well. Please find an experienced Board certified Plastic surgeon who can examine you and help you with  your concerns. All the best!

Zoran Potparic, MD · Answer

Whatever may be the rason of this subcutaneous tissue atrophy, it may be easiy corrected with a touch of filler. It stays in the nose for good year or longer. Hope this helps.

Noticeable dimple appeared near tip of nose, will this go away on its own? Why did this happen? (Photos)

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