What Is the Columella of the Nose & Why Is It Important?

The nose, a prominent feature of the face, is a complex anatomical structure. It comprises several distinct components, each contributing to its overall form and function. Among these, the columella plays a substantial role in both appearance and practical performance.

What Exactly Is the Columella?

The columella is the narrow strip of skin and cartilage that separates the nostrils, serving as a bridge of tissue between them. It is precisely located at the base of the nose, extending from the nasal tip down to the upper lip. This structure represents the most anterior and inferior portion of the nasal septum, which is the internal wall dividing the nasal passages.

The columella’s composition is primarily skin, with underlying cartilaginous support provided by the medial crura of the alar cartilages. These medial crura are extensions of the lower lateral cartilages that form the nasal tip. Its precise structure and dimensions vary considerably among individuals, contributing to each person’s unique nasal appearance.

The Columella’s Vital Role

The columella performs several important functions. It provides structural support to the nasal tip, helping to maintain its projection and rotation. This support is facilitated by the underlying medial crura, which act as a foundational framework. The columella also ensures the clear separation of the nostrils, preventing them from collapsing inward.

The integrity and position of the columella influence the shape and patency of the nasal passages. A well-aligned columella is important for proper airflow and nasal breathing. Any disruption to its structure can impact how air moves through the nostrils.

Why the Columella Matters for Health and Appearance

The form and position of the columella affect both nasal health and facial aesthetics. Variations in its size, shape, or alignment can affect breathing efficiency by altering the nasal passages. For instance, an excessively prominent, sometimes called a “hanging columella,” or overly retracted columella can hinder airflow and overall nasal function.

Aesthetically, the columella contributes to the visual balance of the face and the appearance of the nasal tip and nostrils. Its proper proportion and position are considered in facial harmony. A normal columella show, or the amount of nostril visible on a profile view, is typically within a range of 2 to 4 millimeters. Due to its combined functional and aesthetic importance, the columella is a key consideration in medical assessments and procedures like rhinoplasty, which aim to improve both nasal form and function.