My philtrum runs to tip of my nose. Leaving no distinction between my nose and upper lip. Can this be corrected? (photo)

Question

It's almost as if there is no angle between my lip and nose. It's very embarrassing. It makes my nose look very pointy.

William Portuese, MD · Answer

The photographs show a very prominent nasal spine, caudal septum and columella. A columellar plasty can be performed as a stand-alone procedure to remove cartilage and skin to decrease the angle between the nose and upper lip. The columellar-plasty can be performed with a  full rhinoplasty if necessary. For many examples of columellar show reduction ,please see link below

Tanveer Janjua, MD · Answer

The angle between the nose and philtrum is obtuse and is not aesthetically pleasing for a male. It can be corrected by reducing the vertical height of the columella by reducing part of the caudal septum and sometimes the nasal spine. It is almost similar to a tension nose. RegardsDr. J

Sean R. Weiss, MD, FACS · Answer

Your concern can be addressed with a rhinoplasty procedure that would create a deeper junction between the lip and nose.

Vartan Mardirossian, MD · Answer

This can be addressed fairly easily - what you have is called "tension nose" and is substantially a nasal septum which has overgrown to pull the skin upwards.

Kenneth Hughes, MD · Answer

That can be addressed with a closed rhinoplasty.Kenneth Hughes, MDLos Angeles, CA...................

Felipe Muñoz, MD · Answer

Thanks for the picturesThe angle between the lip and nasal columella is very obtuse. It can be corrected by the reducing of the nasal spine(behind the lip) and sometimes the caudal septal cartilage (behind the columella). The surgery can be performed with a intraoral access or closed rhinoplasty. Sometimes may also require elongation of the upper lip by a intraoral Z-plasty.You should see a rhinoplasty specialist.

Jeffrey Zwiren, MD · Answer

This can be corrected with a tip rhinoplasty and re-shaping of the columella.  Best to see a plastic surgeon for an evaluation.

Jason Mussman, MD · Answer

This can definitely be corrected. I would recommend rhinoplasty to trim and reshape the cartilage in this area and allow the soft tissue to retract to accomplish your goals.

Richard W. Fleming, MD (retired) · Answer

The fullness you describe can be corrected by removing the cartilage at the base of your columella (the strip between your nostrils) or if necessary the prominence of bone at the top of your lip. If you want this can be accomplished using just local anesthesia.

My philtrum runs to tip of my nose. Leaving no distinction between my nose and upper lip. Can this be corrected? (photo)

Answers (9)

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