Interpreting Medical Exam Terminology for Rhinoplasty?

According to my exam, the elements of my nasal structure include slight d. hump and bulbous tip. Nasal bones comprise 40% of length; slight d. hump on upper lateral cartilage and nasal bone distal end. columellar angle 100 degrees. What does this medical terminology mean in layman's terms? Thank you.

Doctor Answers 8

Technical terms for a nose job (rhinoplasty)

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slight d. hump = nasal bump

bulbous tip = tip of nose is bulky, round and not well defined

Nasal bones comprise 40% of length = if you measure from bridge of nose to tip, your bones extend 40% of the distance (slightly less than half the length of the nose)

slight d. hump on upper lateral cartilage and nasal bone distal end = this is the area just below the bones, in your case about the halfway point. It appears your nose bulges out in the middle.

columellar angle 100 degrees = nose is slightly upturned (Ok for a female but slightly high for a male)

Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Rhinoplasty terminology

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These terms describe a nose that has a bump on the bridge (dorsal hump), a tip with a puffed out, rounded look (bulbous tip), nasal bones that are longish for your nose (40% of the length), and a tip that is probably in pretty good potion given the columellar - labial angle - the tilt up of your nose. Hope this is helpful.

Jay Calvert, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 52 reviews

Understanding rhinoplasty terminology

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The nose is composed of both bone and cartilage and overlying skin. The dorsal hump is usually composed mostly of cartilage and some bone. It all depends on how short the nasal bones are. The bulbous tip is created by wide, flaring cartilages, which are called lower lateral cartilages of the tip. The junction of the bone and the cartilage on the nasal dorsum create the hump. The upper lateral cartilages are the intervening cartilage between the nasal bones and the nasal tip cartilages. The distal end of the nasal bones are where it meets the upper lateral cartilages, also called the hump. The columellar angle means the lip/nose junction angle, which should be around 90 to 100 degrees in both men and women.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Terms Describing Nasal Anatomy

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These terms mean you have a slight hump at the junction of the cartilages and bones along your profile line; you have a full, rounded ,poorly defined nasal tip; the nasal bones comprise 40% of the length of the nose from the bridge to the tip; the angle between the upper lip and the columella (the strip between your nostrils) is 100 degrees. These findings are typical of a patient considering a rhinoplasty. Good Luck!

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty terms

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The terms used suggest you have a bump on the bridge of your nose, that the tip of your nose is round and not well defined, and the tip angle is ok.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Your nose has the typical features that patients want changed

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On profile, you have a bump, comprised of bone and cartilage. Very typical.

On front view, your tip is bulbous. Also very common.

The angle between your nose and your lip at 100 degrees is an important piece of data because, depending on whether you are a man or woman, that number has a huge bearing.

That angulation may change as the tip is refined and bump removed. Do you want your nose to become "shorter", " turned up"? That can happen either deliberately by the surgeon's design or through unanticipated changes as the nose heals. Very important issue since one of the unsatisfactory and tell-tale signs of a "nose job" is a nose too-upturned. If you do not desire the nose-lip angle to change, the surgeon can usually prevent it. If you do want it changed, ask how that is to be done.

Suggest revisitng the issue with your cosmetic nasal surgeon. You need to know more.

Remember that the time spent before surgery, discussing all issues with the doctor, is your best spent time.

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 90 reviews

Rhinoplsty terminology

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Here is a translation:

  • Slight dorsal hump: Small bump on top of the nose
  • Bulbous tip: Poorly defined, round, amorphous tip
  • Nasal bones comprise 40%: It is safe to narrow the bridge.
  • Slight dorsal hump on upper lateral cartilage and nasal bone distal end: The bump on top of nose is comprised of both bone and cartilage
  • Columellar angle 100 degrees: The angle of nose to lip is 100 degrees, ie. the nasal tip rotation (adequate for an average height female).

Maurice M. Khosh, MD
New York Facial Plastic Surgeon

Rhinoplasty Medical Terminology

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Hi Harly,

d=dorsal (the top of your nose)

bulbous= rounded, without definition

columellar angle= the angle between your lip and bottom of your nose

Your dorsal hump is at the junction of your nasal bones and cartilage with a lateral cartilaginous component.

Good luck.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 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.