Apgujeong Columella Reduction Surgery While Considering the Length of the Philtrum

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Hello. We are Mary Plastic Surgery Clinic, pursuing natural and beautiful changes.

When many people talk about an aesthetically pleasing nose, they tend to focus on the bridge of the nose.

This is because a tall, well-defined nose not only centers on the shape of the nose itself, but can also affect the overall volume of the face.

Of course, nose height is an important factor that shapes one’s impression, but the area that can further enhance refined detail is the tip of the nose, located below the bridge.

What is an ideal nose tip?

In general, when talking about the nose tip, the range can be expanded to include not only the protruding part of the tip but also the nostrils.

In the case of Asians, the cartilage is relatively flexible and the skin and tissue are thicker, so the nose tends to be lower and broader overall.

As a result, the nose tip can also look elongated or drooping, which can negatively affect one’s impression.

So how can you prevent the nose tip from appearing compressed like this?

In such cases, understanding the columella is necessary.

What is the columella?

The columella commonly refers to the nasal column.

It is the slightly protruding area between the two nostrils.

The columella is made up of skin, soft tissue, and the alar cartilage.

Due to the facial characteristics of Asians, the alar cartilage is not highly developed, so there is not enough support for the nose tip.

When the columella supports the nose tip and is also connected to the upper lip, satisfaction tends to increase both functionally and aesthetically.

If the columella is recessed, the nose may appear short or upturned, and if it is protruding, it may make the nose look long or like a hump nose.

What is Apgujeong columella reduction surgery?

Key points of Apgujeong columella reduction surgery

✅ Analyze both the angle and length of the columella

✅ Consider the philtrum and nostrils adjacent to the columella

✅ Design the entire nose tip, including the columella

What if the center of the columella stands out prominently?

If the columella protrudes excessively compared with the alar cartilages on either side, it can make the nose look long and can also cause the nostrils to appear lifted, creating what is commonly called a ‘hooked nose.’

An ideal columella should protrude about 1 to 2 mm beyond the end point of the alar cartilage.

If it feels longer than this and causes the nose to look overall longer and change the impression, it can be improved through Apgujeong columella reduction surgery.

Apgujeong columella reduction surgery is different from the nose surgery methods many people usually think of in that the key is to create a natural appearance by adjusting the length of the philtrum at the same time.

At the same time, it is important to proceed while considering the angle and length of the nose tip, the width of the nostrils, and their angles from multiple perspectives.

Even in columella reduction surgery, the goal is not simply to change the columella itself, but to proceed while considering the patient’s overall impression and the proportions of the facial features.

Where is a good place for columella reduction surgery?

The columella reduction surgery introduced today includes an incision inside the nose and a process of fixing the muscles to the bone.

This is because when the columella becomes shorter, the philtrum can appear longer.

To improve this at the same time, it is better to pull the depressor muscles around the lips and fix them to the maxilla to help shorten the philtrum as well.

While the nose surgery that many people are already familiar with is also a difficult procedure because it involves tissue, nerves, blood vessels, and more, the details of the nose tip require even more attention, making it a small difference that can greatly increase satisfaction.

Therefore, at our clinic, we emphasize the importance of undergoing the procedure with a medical team that has extensive experience in Apgujeong columella reduction surgery.

Mary Plastic Surgery Clinic is led by a chief surgeon with extensive experience in treating a wide range of patients and performing complex procedures, and provides 1:1 customized surgery.

Rather than focusing only on the outward appearance of the nose, we carefully analyze the surrounding areas and even the inside of the nose, which can cause functional problems, and establish a customized surgical plan.

Even if the concerns patients have are the same, the details are always different.

If you would like to correct the columella shape introduced today, you can visit us for a consultation about your nose.

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