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 13

Nasal cartilage irregularity

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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 20 reviews


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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
4.9 out of 5 stars 85 reviews

How to Comminicate with Your Rhinoplasty Surgeon

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This is a good question and one that I think a lot of patients over look prior to their consultation.
  1. 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. 
  2. Try using something like a pencil or other pointer so that you can be very precise. 
  3. 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. 
  4. 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.
Understand that you may be told that what you want is unrealistic, not possible or would not work well with your face. The goal in communication is to arrive as to close to what you want given your anatomy so that you will be happy with the results afterwards.

I hope that helps.

Best regards.

Brian Windle, MD
Kirkland Plastic Surgeon
4.9 out of 5 stars 64 reviews

Contour irregularity in nasal tip

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It appears that you have a contour irregularity along the columella that is causing the lump. Rhinoplasty is the appropriate treatment to address this issue as it will allow the cartilages to come together more symmetrically and conceal this abnormality. The bulbous tip can be addressed at the same time in addition to any other areas that are noted. Scheduling a consultation with a rhinoplasty specialist is a good start to get a thorough evaluation and to better understand the procedure.

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon

Rhinoplasty Terms

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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

Rhinoplasty question

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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
4.8 out of 5 stars 158 reviews

Rhinoplasty question

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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
4.8 out of 5 stars 12 reviews

Rhinoplasty Question

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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 54 reviews

Rhinoplasty question

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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
4.8 out of 5 stars 160 reviews

Rhinoplasty issue

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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
New York Plastic Surgeon
4.2 out of 5 stars 30 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.