Large nasal spine/caudal septum cartilage? What can be done? (photos)

Question

Okay so my whole life I've deal with my terrible nose... based off what I've read I've concluded that it is due to an overgrown nasal spine/ excess septum cartilage. So my question is what can be done to correct the angle between my lip and my nose? If the excess bone and cartilage is removed will the skin move up into place or will it still hang and what is the name for the deformity?? Thanks in advance.

Scott W. Harris, MD, FACS · Answer

Well I have to say first... I like your nose. Yes, I'd recommend making a smaller version- lowering the dorsum and removing some of the cartilage underneath, but your nose is basically pretty good. I'd say to you... don't let anybody change it too much! Good luck.

Adam Bryce Weinfeld, MD · Answer

You diagnosis appears to be accurate.  During rhinoplasty this excess tissue can be reduced by removing some of the bone of the nasal spine and some of the cartilage of the caudal septum.  The tissues ends up relaxing into the void and makes the fullness in that better, not perfect, but better.  It this works even better if the entire nose is deprojected some.  Most noses need this maneuver anyhow.  I think you would be happy ultimately with what you can achieve.  I am in Austin, not too far away.

William H. Sabbagh, MD · Answer

Hi Troy, From your fotos i think the problem may actually be that the bridge of your nose is too high and this pulls your lip up and gives the appearance that the nasal spine is too big. At a consultation your exam will help to determine the exact cause and its correction. caution needs to be taken when resecting part of the nasal spine to avoid making the angle too deep.

William Portuese, MD · Answer

A rhinoplasty procedure can address shaving down the nasal spine and trimming back the caudal septum. This is also known as a columella-plasty for a hanging columella. This is usually performed at the same time as the rhinoplasty procedure. For many before and after examples, please see the link and the video below

Steven Wallach, MD · Answer

It certainly looks like your anterior nasal spin and septum are contributing to the issue you are concerned about. A small resection of this are should resolve your issue.

Large nasal spine/caudal septum cartilage? What can be done? (photos)

Answers (8)

Answer: Rhinoplasty for large nasal spine and caudal septum

Answer: Rhinoplasty for large nasal spine and caudal septum

Answer: Anterior nasal spine

Answer: Anterior nasal spine

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Everything you need to know about Rhinoplasty

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Large nasal spine/caudal septum cartilage? What can be done? (photos)

Answers (8)

Answer: Rhinoplasty for large nasal spine and caudal septum

Answer: Rhinoplasty for large nasal spine and caudal septum

Answer: Anterior nasal spine

Answer: Anterior nasal spine

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.