Options to repair slightly sunken middle portion of nose (photo)

You can either have the bump shaved down, which would involve doing a rhinoplasty and moving the bones closer together after the bump is taken care of. You can also have some filler put in which is quite simple and can be done under topical anesthesia, which will hide the contour imperfection, but will need to be repeated from time to time. You need to schedule an in person consultation with a plastic surgeon to discuss this in more detail.

Hello and thank you for your question. Based on your
photograph, you may benefit from spreader grafts to help with this contour issue.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello,

Yes it is possible to improve the shape. Without being able to take a full history and not having examined you, my best guess is that you might benefit from a dorsal hump reduction and grafting to the indentation below. In my view this is a realistic reason for surgery and can be achieved. There will be some degree of pain but that can be managed with pain killers.

Dear mdb55,Although you suggest that you have had repeated injuries,  you don't really say what those injuries were.  They could certainly be the cause of your "collapse".  Surgical correction of the collapse would require cartilage grafting.  As you have heard, injection of filler materials would provide a temporary improvement and would need repeating every year or so.  Good luck!

From the limited photographs presented, it appears that the upper lateral cartilages are concave and sunken in. In addition, there is a bony dorsal hump present just above that area. A rhinoplasty procedure can accomplish filing down the dorsal hump and placing spreader grafts composed of the patient's own cartilage underneath the concave upper lateral cartilage in the midportion of the nose. A larger  spreader graft will be required for the more collapsed side. This is a rather difficult rhinoplasty, so choose your surgeon very wisely based on extensive experience. For more information about spreader grafts and many before and after examples, please see the link and the video below 

It looks like you have a slight dorsal hump which could be improved with rhinoplasty rather than a collapse in the lower 1/3.  If you do not want anything invasive and to "fill" what you call a depression, then a filler might be reasonable but this is always temporary.

 Hello and thanks for your question. Shunken middle nose can be corrected in different way. 1  You can go for close rhinoplsaty with cartilage graft. 2  you can also think of fat graft with its plus and minus 3   Non Surgical - It can be corrected with filler injection ( OPD Procedure)  but have to re do every year.please discuss with your plastic surgeon Best of luck Dr Milan Doshi

Hi Joann,You can always try a non-surgical rhinoplasty, which is a filler being injected in the middle area. This is only temporary, and can make your nose look longer or bigger.  If you are looking for a permanent solution, you would be a rhinoplasty candidate. The dorsal hump needs to be slimmed down and you may require a graft during the procedure. During a rhinoplasty, once one area is being adjusted, the surgeon will most likely need to adjust other areas of the nose as well to make it balanced. You can still achieve natural looking results. During your consultation, the surgeon should computer image your nose so you can see the potential result. This will also help the surgeon relay what can be done during the procedure. In good hands, you will get a great result. 
Best,Dr. S