Rhinoplasty Question?

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 12

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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.  

Atlanta Plastic Surgeon
4.5 out of 5 stars 12 reviews


Dear vancityDS,

  • 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

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 44 reviews

Rhinoplasty Terms

Hello.  Just to give you the terms so that you feel more comfortable.  I believe you are referring to the columella (tissue between the nostrils) and the infratip lobule (portion of the nose immediately below the tip).  Best wishes.

Anand G. Shah, MD
San Antonio Facial Plastic Surgeon
4.0 out of 5 stars 5 reviews

Rhinoplasty question

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.

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 62 reviews

Rhinoplasty question

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.


Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 8 reviews

Rhinoplasty Question

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!!!

Richard J. Brown, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 24 reviews

Rhinoplasty question

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.

Arnold S. Breitbart, MD, FACS
Long Island Plastic Surgeon
4.5 out of 5 stars 73 reviews

Rhinoplasty issue

The best way to describe what you are bothered by is to show yoru doctor in person. It sounds like you are bothered by something with regards to the tip columella region.

Steven Wallach, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 18 reviews

Columella changes with Rhinoplasty


Dear VancityDS, 

The columella is typically addressed in rhinoplasty surgery especially when the columella is "hanging". Discuss this with your surgeon. If your surgeon uses digital imaging he/she should be able to show you the proposed surgical result so that you may discuss this during your final preoperative appointment. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 155 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.