Removing dent from the center of nose tip? Non-surgical options?

Hello and thank you for your question. It appears you have a gap in your columella (middle portion of your nose between your nostrils) where there is thin skin overlying the two separated medial crura of your lower lateral cartilages (which make up the structural framework of the columella). Because of this separation and thin skin, you see this dent on the overlying skin. I am not sure exactly how the laser therapy is supposed to help with the dent you're concerned about here.
Sometimes after rhinoplasty, there are focal asymmetries and depressions which become visible over time as the post-op swelling resolves. My preference is to address these areas with dermal fillers, particularly if it is before the full 2 years post-op. This is what I would recommend to add volume and fill in that dent in your case. Fillers are a quick, easy, minimally invasive, and very effective method for smoothing out any focal indentations to make the nose more symmetric and improve the overall rhinoplasty result. Of course they have to be periodically reinjected, as they naturally dissolve over time (usually over a year or so).
The alternative is a full blown surgery, which is much more invasive. I would advise you to just get filler injected into the site, especially since you are looking for a non-surgical option. I hope this helps!
Best Wishes,
Dr. Donald Groves
Plastic Surgeon

Thank you for your query. A small amount of filler is the best non-surgical option to correct the “dent” in your nose. Lasers and creams are not usually helpful in this situation. Please find an experienced board certified Plastic surgeon who can examine you and help you with all your concerns.

The dent you describe is a hollow of your skin between the two medial crura. This correction will involve opening up the nose and suturing the crura together to correct the contour deformity. A filler can be tried but will be temporary.

Best Wishes,

Gary Horndeski, M.D.