Hello, this is Dr. Cha-Young Kang, the director of Nose Lab Clinic.
Today, I’d like to share the case of a patient who sought surgery to address columella depression and a "piggy nose" appearance. This case highlights the transformative power of precision rhinoplasty in achieving balance and harmony with the face.
1. Surgical and Procedural History
1 year ago: Nose filler (dissolved prior to surgery)
2012: Silicone implant + ear cartilage graft
2. Patient’s Concerns
Reduce the visibility of nostrils
Correct the upturned nose
Achieve a harmonious nasal appearance that complements the overall face
Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos
3. Preoperative Analysis
a. Front View
Excessively visible nostrils
Diagonally deviated nose
Depressed columella
Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
b. Side View
High nasal starting point
Depressed columella
Protruding mouth
c. Nasal Base View
Asymmetrical nostrils (larger left nostril)
Leftward leaning columella
4. Surgical Plan
a. Structural Reconstruction
Utilize autologous rib cartilage for comprehensive nasal reconstruction.
b. Functional and Aesthetic Corrections
Lower the columella to correct depression and improve the nasolabial angle.
Adjust nostril symmetry by reshaping the columella and nostrils.
c. Removal of Foreign Substances
Remove any remnants of silicone implants and related scar tissue.
d. Functional Improvements
Correct septal deviation (septoplasty).
Perform radiofrequency turbinate reduction to alleviate nasal congestion.
5. Surgical Outcomes
a. Front View Improvements
Before (Left) / Immediately After (Right)
Significantly reduced nostril exposure
Straightened nasal bridge
Corrected columella depression
b. Side View Enhancements
Before (Left) / Immediately After (Right)
Lowered nasal starting point for a more natural slope
Smooth and natural columella line formation
Corrected nasolabial angle for balanced facial proportions
Improved projection, reducing the appearance of a protruding mouth
Before (Left) / Immediately After (Right)
c. Nasal Base Adjustments
Before (Left) / Immediately After (Right)
Corrected nostril asymmetry
Aligned and stabilized the columella
Achieved a balanced and proportional nasal base
6. Final Thoughts
Immediately After Surgery: Frontal, Side, and Oblique Side Views
Immediately After Surgery: Nostril View
Lowering a depressed columella and adjusting the nasolabial angle are crucial elements of achieving a balanced and natural-looking nose. These procedures require precision and advanced surgical skills to ensure structural stability and aesthetic harmony.
At Nose Lab Clinic, we tailor every surgical plan to the patient’s unique facial features, focusing on achieving natural results that enhance overall facial harmony.
For anyone considering rhinoplasty or dealing with similar concerns, we’re here to provide the expertise and care you need for a successful outcome.
Thank you for reading. This is Dr. Cha-Young Kang of Nose Lab Clinic.
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