Q. I had surgery for a hooked nose and a bulbous nose... Could the problem be in the columella area?

Hello. I am Kim Hyung-taek, chief director of Kowon Plastic Surgery, where we perform rhinoplasty with honest and delicate technique.

Today, I will answer a question from someone who underwent rhinoplasty to improve a hooked nose and bulbous nose, but feels the result was not very effective and is now considering revision surgery.

Q. I had surgery for a hooked nose and a bulbous nose... Could the problem be in the columella area?

I had rhinoplasty to improve my hooked nose and bulbous nose.

After the surgery, the bulbous nose seems to have improved a little, but that feeling is still there.

The hooked nose seems even more noticeable.

So I am thinking about revision surgery.

I told the surgeon that I was dissatisfied because it seemed like these areas had not improved enough.

However, the surgeon said that when I smile, my nostrils tend to lift up a lot more than other people’s (move upward), because of my facial characteristics.

He said that this is why the hooked nose appears more prominent.

He also said that if the columella area is raised further to improve this, it could end up looking like an upturned nose.. In my view, even when I am still, the columella area does seem to hang lower.

Even after surgery, the nostrils spread out a lot, and when I smile, the nostrils rise up unusually high. What kind of surgery can improve this problem? Would nostril reduction surgery alone be enough?

#hookednose #columellaarea #bulbousnose #revisionrhinoplasty #KowonPlasticSurgery

If the nostrils rise upward when smiling but only the columella area remains unchanged, it may look like a hooked nose.

However, if it looks like a hooked nose even when you are not smiling and are just at rest, there is also a method of slightly lifting the tip of the nose.

The exact answer can only be found by examining your nose in person. The nostrils spreading outward when smiling may be difficult to improve even with correction. But if the columella area droops downward when smiling, blocking the action of the depressor septi nasi muscle can help reduce the outward spreading.

The exact improvement method can only be determined by directly checking the current shape of the nose and its shape when smiling, so please discuss it in detail with a specialist.

I hope you get a good result. Thank you.

Source: https://kin.naver.com/qna/detail.nhn?d1id=7&dirId=70110&docId=241529932&page=1#answer1

https://blog.naver.com/kowon_note/223330250577 ​