Lowering the columella(a column of the nose) in Rhinoplasty

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Lowering the columella(a column of the nose) in Rhinoplasty  

 

The shape of the nasal tip is determined by the height, shape, projection, and degree of a column of the nose which is called the ‘columella’. Especially the ‘columella’ determines the overall impression of the nose shape as well as the ideal line from the nasal tip to supralabial.

 

What is the columella(a column of the nose)?



 The marked area is called columella. Normally it is called a column of the nose. The columella is the skin that connects the nasal tip and philtrum dividing the left and the right side of the nostril.

 



Why is columella important in rhinoplasty?

The columella has an important role by not only supporting the nasal tip but also naturally connecting the nasal tip and the philtrum. Normally people think about the nasal tip and bridge when it comes to rhinoplasty. However, for the more natural and prettier nose shape, the columella must be considered together.


 

The case that lowering the columella is necessary with rhinoplasty


The above photos are the real patient of TS plastic surgery. Not only the nasal bridge and nasal tip are lower than the average, but also the columella is dented so that makes the nasal tip looks more rounded and stubbier. In this case, lowering the columella must be done with rhinoplasty to correct the dented columella.

 

 

The whole impression can be improved only by adjusting the columella


The surgical method of adjusting the columella is to lower the columella using by the septal or cartilage graft so that exposes the columella enough to be seen in profile. It gives a more sophisticated and better impression.

 



Nasal bridge + Nasal tip, Hump nose, Bulbous nose, and Nasolabial correction

 

The above patient had a rhinoplasty for nasal bridge + nasal tip, hump nose, bulbous nose, and nasolabial correction. After having surgery, it naturally improves both the shape which was rounded and stubby nose, and the length.

 

 


Adjusting the columella is for who?

1. who has innately dented columella so that makes the nasal tip looks stubby

2. who has a short and broad nasal tip

3. who has capsular contracture after rhinoplasty

4. who has infection after rhinoplasty and ends up with melted/damaged septal cartilage

 

 

“Various angles

from where the nose begins to nasolabial angle

should be considered for the successful result.”

 

 

 


Location: 대한민국 서울특별시 강남구 논현동 1-3

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