What is the cause behind my weird V shaped columella/tip? (photo)

From the front view I have this strange V-shape to my columella/tip area. I can't pinpoint exactly why this looks this way and how to explain that I am not pleased with it. What is going on in this area and what needs to be done to alleviate it? I would like it softer and more natural. I feel this looks very unnatural and surgical. Almost beak-like.

Doctor Answers 5


The shape reflects the anatomy of your lower lateral cartilages. They can be modified with surgery. Chin implant surgery has long been touted as a simple operation that reliably gives good results.

Boston Plastic Surgeon
3.7 out of 5 stars 24 reviews


To have a complete evaluation of your case, it is important to see photos of your profiles, and that will add more information to see what can be done to decrease the V shape. This can be from alar retraction, supratip fullness, or hanging columella. All these could be present at your case and different surgical techniques can be use to correct it. Please check with a Board Certified Facial or Plastic Surgeon for a complete evaluation of your case.

Juan Carlos Fuentes, MD
Mexico Plastic Surgeon
4.7 out of 5 stars 65 reviews

Rhinoplasty candidate for bulbous tip

The nose is a three-dimensional structure, so A full set of photographs are required to make any determination about surgical alterations to it. The columella is best  seen by a side view, not a frontal view. The bulbous tip can be reduced, the hanging columella can also be reduced and the dorsal hump can be shaved down along with refinement of the tip and the bridge line. Digital computer imaging would be helpful at the time of the consultation to give the patient an idea of what can be accomplished with your nose on your facial features. For more information  and many examples, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews

V-Shaped Columella/Tip

This one picture suggests that you have a hanging columella which can be lifted very easily with a small procedure under local anesthesia. A profile view would be helpful.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

V shaped columella

Hard to give an opinion with a single photo. It appears that you have a fair amount of swelling, which indicates that your rhinoplasty was recent-within the last 3 months?
Lateral and base views would be helpful to form an opinion.

Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 112 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.