The Completion of the Ideal Nose Shape Starts with the Columella: Columella Projection with Autologous Cartilage

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JW Garden Plastic Surgery, where results speak for themselves.

The golden ratio of the nose that harmonizes with the face

When talking about a beautiful nose, generally the length of the nose accounts for about one-third of the face, and when the nasolabial angle, which refers to the angle between the tip of the nose and the lips, is around 95 to 105 degrees, it can be said to be a beautiful nose that harmonizes best with the face.

The ideal shape of the columella

Also, the columella, which stands like a pillar between the two nostrils, when viewed from the front should extend slightly downward, and when viewed from the side, it is ideal for it to appear slightly lower rather than in a straight line with the alar of the nose.

Actual case of columella projection

However, if the columella is underdeveloped from birth, or if it has become contracted and deformed due to complications from rhinoplasty, there are cases where it is recessed or curled inward.

In such cases, it can be corrected with surgery.

Today, among rhinoplasty procedures, we will talk about columella surgery, columella projection.

As mentioned earlier, the columella refers to the pillar between the nostrils. In the case of the patient above, cartilage did not develop naturally, so the columella had receded as shown in the photo.

From the side as well, compared to the tip of the nostril, the columella had curled inward, giving a somewhat coarse and old-fashioned impression.

For this patient, ear cartilage was used to extend the recessed lower septal area and correct the columella. If the columella is projected too far downward, it may look like a hooked nose, so it is most important to extend it to an appropriate length.

As in the case above, when the cartilage has not developed or the columella has receded due to contraction, correction can be performed using autologous cartilage. For columella projection, artificial implants are not used, and ear cartilage, septal cartilage, or costal cartilage is used.

20 years dedicated to rhinoplasty, JW Garden Plastic Surgery Dr. Seo Man-gun’s philosophy on rhinoplasty!

As such, rhinoplasty is not simply about raising the bridge of the nose; surgery must be performed while considering various factors such as the proportions that harmonize with the individual’s face, the nasal tip, the nasolabial angle, the alar, and the position of the columella.

Dr. Seo Man-gun of JW Garden Plastic Surgery has focused on rhinoplasty for over 20 years. By considering both aesthetic and functional aspects, he delivers stable and beautiful results through accurate surgery with careful and detailed planning.

Through ongoing research and academic activities, he has developed his own rhinoplasty techniques and has been invited to lecture at major domestic and international academic societies. Recently, more and more people who experienced failure in their first surgery have been visiting JW Garden Plastic Surgery.

To avoid repeated revision surgeries, Dr. Seo Man-gun accurately identifies the problems of the first surgery and achieves satisfying results with materials and surgical plans best suited to each individual’s nasal condition.

*Plastic surgery may involve side effects such as bleeding, infection, etc.