[E-DongA] Columella Line Rhinoplasty: The Key Is a Rounded-Pointed Columella and Nasolabial Angle Correction

The nose is located at the center of the face and is a key part that determines the overall impression, playing a major role in creating facial dimension and balance.

However, many people have concerns about different nose shapes, such as a long nose, a hump nose, a bulbous nose, or an upturned nose. In addition, the nose can look different not only from the front but also from the side and from below.

That is why small elements such as the angle of the nasal tip, the height of the bridge, the width of the nostrils, and the nasolabial angle must be carefully adjusted for the impression to change naturally.

For this reason, the recent trend in rhinoplasty has also been focused on the 'precise adjustment of detailed proportions.'

Moving beyond simply raising the nasal bridge, it is developing in a direction that considers correction of the nasolabial angle together with harmony in the 'columella line' connecting the nasal tip and the philtrum, thereby completing the dimensional side profile and facial proportions.

The columella line is a key factor in improving the proportions of the central midface, and it affects the sophistication of the front view as well as the harmony of the overall impression.

Therefore, to create a natural and dimensional nasal line, the face shape, the proportions of the facial features, and precise customized columella line and nasolabial angle correction are essential.

In columella rhinoplasty, the 'columella' is a key element that determines the nose's line, height, and angle.

Based on the columella, which serves as the central axis of the nose, the position of the nasal tip, the degree of nostril show, and the nasolabial angle are precisely designed to complete a natural and refined nasal tip line that matches the balance of the entire face.

Through a modest rounded-pointed columella line, it is possible to create a nose shape that is not artificial but harmonious, and with a columella line and nasolabial angle correction tailored to facial proportions, it is possible to achieve one's own ideal and elegant nose line.

Columella rhinoplasty does not simply correct structural issues of the nose; it also considers the proportions of the philtrum and nasolabial angle to maximize the overall dimensionality and harmony of the face.

In cases where the nose appears long, adjusting the position of the nasal tip and softening the columella curve can create the effect of making the nose appear shorter. Conversely, when the nose is short, lowering the columella and raising the nasal tip can naturally extend the length of the nose.

Also, when the nasolabial angle is narrow and is accompanied by protruding lips, or when it appears as if the lips are protruding, the nasolabial angle is widened and the nasal tip is raised to improve the narrow nasolabial angle and the area that appears like protruding lips.

Conversely, in cases where the nasolabial angle is wide or the nose appears upturned, the nasolabial angle is reduced and the nasal tip is lowered to improve the philtrum proportions and create a harmonious side profile. In this way, columella rhinoplasty is not a simple change in nasal height, but a natural dimensional result achieved through a precise customized surgical plan tailored to facial proportions.

Seo Jae-won, director of AB Plastic Surgery, explained, "The nose is located in the central part of the face and is a key factor that determines the impression," and said that rather than rhinoplasty that simply adjusts the height of the nasal bridge, the columella line and nasolabial angle must be corrected together to create a truly natural side profile with dimensional depth.

He added, "By precisely analyzing each individual's facial proportions and tissue characteristics and applying a customized design, we pursue refined and harmonious results."

He also said, "Columella line rhinoplasty is not simply a cosmetic procedure, but a process of restoring balance to the center of the face. A natural yet noticeable nose line is ultimately completed through the columella line, and by considering the overall harmony with the forehead, eyes, and lip line, we aim to create a face that looks harmonious from every angle."

Source : https://edu.donga.com/news/articleView.html?idxno=99136