If someone has a prominent nasal spine and tethered upper lip, will removing the nasal spine always shorten the nose by raising the position of the entire base of the nose, as opposed to just raising the tip?
Raising the Base of the Nose?
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Doctor Answers 6
Raising the base of the nose is called columellar- plasty
Raising the base of the nose when the columella and nasal spine are prominent involves trimming back bone, cartilage, and extra skin along the columella. This is considered a columellar-plasty. This can be performed as a stand-alone procedure or in conjunction with a rhinoplasty. Many patients who have a tethered upper lip also have a prominent depressor septi ligament which is also released at the same time to prevent the tip from drooping upon animation. See the link below for examples of a columellar-plasty in our practice
Rhinoplaty will correct tethered upper lip.
Tethered upper lip can be caused by prominent nasal spine OR by long lower septum. Correcting these problems will not by itself necessarily shorten the nose or raise the tip. So you need a hands on expert opinion.
Nasal spine resection differences.
Nasal spine resection differences are many types along with tip positioning. An experienced rhinoplasty surgeon will know which u need. Choose wisely.
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- Dear kenny48,
- You can reduce the tethering of the upper lip without changing the length of the nose
- It is done on an as needed basis and not that rare of a procedure to perform
- I have included a picture where the tethering has removed below
The relationship of the columella to the upper lip can be changed by dealing with the nasal spine.
It's unusual to trim the nasal spine during rhinoplasty although there are occasionally indications for. It will change the relationship of the columella to the to the lip. I would need more information to decide whether this would be a good maneuver for your nose.
Raising the Base of the Nose?
A caudal septal trim with extension to the anterior nasal spine gives the illusion that the upper lip to nasal base distance has increased. There are a number of things that can be done to shorten the nose with or without changing apparent tip elevation. Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
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.