Case Study: Columella Depression Correction and Nasolabial Angle – Natural Rhinoplasty in Korea

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 correction and improve the nasolabial angle. This case highlights the transformative power of precision rhinoplasty in achieving balance and harmony with the face.

Patient’s Surgical and Procedural History

• 1 year ago: Nose filler (dissolved prior to surgery)

• 2012: Silicone implant + ear cartilage graft

Design Consultation: Frontal View, Left Oblique Side View, and Side View Photos

Patient’s Concerns

• Reduce the visibility of nostrils

• Correct the upturned nose

• Achieve a harmonious nasal appearance that complements the overall face

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos

Preoperative Analysis

Front View

• Excessively visible nostrils

• Diagonally deviated nose

• Depressed columella requiring columella depression correction

Side View

• High nasal starting point

• Depressed columella

• Protruding mouth

Nasal Base View

• Asymmetrical nostrils (larger left nostril)

• Leftward leaning columella

Surgical Plan for Columella Depression Correction

Structural Reconstruction

• Autologous rib cartilage graft for comprehensive nasal reconstruction

Functional and Aesthetic Corrections

• Lowered the columella for effective columella depression correction

• Improved nasolabial angle and nostril symmetry

Removal of Foreign Substances

• Removed remnants of silicone and scar tissue

Functional Improvements

• Septoplasty to correct deviation

• Radiofrequency turbinate reduction to alleviate nasal congestion

Surgical Outcomes After Columella Depression Correction

Before (Left) / Immediately After (Right)

Front View

• Reduced nostril exposure

• Straightened nasal bridge

• Corrected columella depression

Before (Left) / Immediately After (Right)

Side View

• Lowered nasal starting point

• Smooth, natural columella line

• Corrected nasolabial angle

• Improved projection, reducing protruding mouth

Before (Left) / Immediately After (Right)

Nasal Base

• Corrected nostril asymmetry

• Stabilized columella

• Balanced nasal base

Before (Left) / Immediately After (Right)

Final Thoughts on Columella Depression Correction

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 harmony.

Thank you for reading. This is Dr. Cha-Young Kang of Nose Lab Clinic.

Nose Lab performs all surgeries using the closed rhinoplasty technique.

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