Is it possible to just finely adjust the area right below the nose? (Photo)

The bulge where the bottom of your nose meets your upper lip is appearing to be a prominent anterior nasal spine. This is typically made of bone, however, sometimes it can be cartilaginous, from the posterior septal angle. The way to repair the tension lip deformity is to remove the offensive cartilage and bone. My concern is that this could disrupt some ligaments in the tip of your nose and lead to possible tip droopiness, especially if it is approached from above.

It is conceivable, however, to have this removed through an incision in between your upper lip and gum. If a direct procedure like this is in fact efficacious, there should be very little downtime associated with the procedure. Please consider meeting with several reputable rhinoplasty specialist for an evaluation and a plan. Wishing you well moving forward. Sincerely, Dr Joseph

Hi, thanks for this question. Yes, it is possible to adjust the area right below your nose. The protrusion you're describing could be due to the cartilage tissue in that area, known as the septum cartilage, or the bone tissue in the upper jaw bone, known as the nasal spine. A surgical procedure can reduce both these structures to diminish the protruding appearance in this specific area. Best of luck to you!

Hi. Adjusting the tip is a part of the surgery.It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

That’s the lower end of the septum. The cartilage just needs to be trimmed back 3 or 4 millimeters. I see it all the time. Sometimes makes your upper lip seem tight. Can be done under local anesthesia with incisions just inside the nostril and take about half an hour. Believe it or not many surgeons don’t know how to do this amazingly simple procedure

It is usually a bone or cartilage prominence that creates this obtuse angle in the junction between the lip and the nose. A simple procedure that will remove a portion of the bone (spina nasalis) or cartilage, or both, would take care of this and the columella base would retract. This can be done in local anesthesia. Good luck.