Hey, I would like to know how to communicate this to my surgeon on my last meeting before my surgery. I drew pictures to explain. I want to say " I want the bottom part of the tip smooth" but i am not sure how to word it. Or if their is a specific name for it. The first one is what I have The second one is what I want This is a profile view I am getting the bulbous tip done and I want the bottom to be smoothed out too and not bulbous. Thanks to anyone who answers. It's much appreciated.
Doctor Answers 13
Promoted Local Answer
Contour irregularity in nasal tip
Nasal cartilage irregularity
A bump in the portion of the nose that you have indicated is usually due to an irregularity of the lower lateral cartilage. There are many ways to smooth this out surgically including suture techniques and cartilage grafting. Just point out your concern to your surgeon so that it can be addressed at the time of your operation.
- You are referring to the infratip lobule (the curve underneath the tip), and the columella (the bridge of skin between the 2 nostrils)
- That should help you talk to your surgeon about what you want
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How to Comminicate with Your Rhinoplasty Surgeon
- The first thing to do is to look very critically at your nose and identify each area that you do not like and would like changed.
- Try using something like a pencil or other pointer so that you can be very precise.
- Look for pictures of noses that you like but make sure the face is similar to yours. Many times patients will bring in photos of celebrities who have a thin long face when they, the patient, have a round face and a narrow, thin nose will not work very well on that face.
- Drawing out what you do not like or what you would like changed so that your surgeon can see exactly what you are talking about is another good way to communicate clearly with your surgeon.
I hope that helps.
The anatomical component in the drawing is considered a columella. The columella can be made more smooth by trimming back a portion of the membranous and cartilaginous columella, which can all be done from the inside of the nose. This is also known as a columella-plasty. Trimming the columella will not make the tip look any more bulbous.
this is the infratip lobule. You can point this out to your surgeon and discuss your goals for its appearance on lateral view with him/her.
You are pointing to the infratip lobule area. There are many special maneuvers we perform to obtain results for patients. You need to make sure you voice your concerns and even point them out before your surgery because this is the most important step in order to obtain the result you are looking for. Clear communication is key!!!
It seems that you are referring to the infratip area/columella. The best way to explain it to your surgeon though is to point out the area as you are being examined.
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