Can a septorhinoplasty with columella correction help me get the concave upper lip without lifting my tip too much?

Can getting a septorhinoplasty with columella correction help me get the concave upperlip without lifting my tip too much?

Doctor Answers 4

Septoplasty and rhinoplasty will not change the lip

A septoplasty is performed in the back of the nose to improve airflow dynamics and is performed for functional purposes and will not change the shape of the nose. A rhinoplasty procedure can accomplish making all the required changes to the nose such as reducing a hanging columella, shaving down a dorsal hump, narrowing the bulbous tip, and narrowing the bridge line.  A septoplasty and a rhinoplasty will not make the upper lip any different. For more information and many examples, please see the link in the video below


Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Adjusting Columella with nasal tip rotation

Thanks for this question.  This is a complex question to answer without having a discussion with you and without your profile photos.  Regardless, the columella can be adjusted without changing tip rotation and vice-versa.  As far as the lip, this depends on your specific anatomy and best discussed in person.  Regardless, septorhinoplasty should be able to address many of your concerns.  Hope this helps.

Taha Shipchandler, MD
Indianapolis Facial Plastic Surgeon
5.0 out of 5 stars 1 review

Changing columellar position with a rhinoplasty

Although pictures would be helpful, it sounds like you are asking for your columellar position to be adjusted without rotating the nasal tip. This can be performed via a rhinoplasty. 

Michael T. Somenek, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Columella, upper lip,nasal labial angle

A difficult question to answer without having the opportunity to evaluate your nasal labial angle, the relationship between the columella and the upper lip.  A lateral photographs would certainly have been helpful in this endeavor. If there is a very  obtuse, open,  angle between the columella and the lip  improving that angle can improve the height and  depth of the lip and the relationship with the projection and rotation of the tip.  The tip does not have to be turned up in order to address the relationship of the nose with the upper lip.  Addressing the relationship between the nose and upper lip can occasionally disrupt the muscles that lift the central portion of the lip when smiling that can lead to a temporary change in the smile which will resolve over time but may take as long as 6 months to completely resolve.

Edward Farrior, MD
Tampa Facial Plastic Surgeon
4.4 out of 5 stars 14 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.