Thank you for your question. I'm not exactly sure what you are referring to when you mention a huge dent in the nose. As you rightly pointed out, one of the common causes for depressions in the nose is from traumatic injury to the nasal bone.
If you are sure that there is no previous trauma to the nose, the other possibility is acne scars. Depending on the severity this can be treated with CO2 lasers, fillers or fat grafts. I had a patient once who had a depression in the tip of the nose, known as a bifid nasal tip (see below) and this could be caused by the separation of the nasal cartilages at the tip. This can be easily corrected by a tip rhinoplasty where sutures are used to align the cartilages and cartilage grafts are added to create additional tip support.
Bifid Nasal Tip. (Image from www.rhinoplastyarchive.com)
I hope this answers your questions. I would recommend an in-person consultation with an experienced plastic surgeon who is able to manage both the functional aspects and cosmetic aspects of rhinoplasty.
Have a great weekend ahead!
Dr. Terence Goh
Plastic Surgeon, Singapore
The information provided is purely for educational purposes and does not constitute medical advice or create any physician/patient relationship. Results may vary between individuals.
