Case Study: Columella Symmetry Correction and Philtrum Reduction for Enhanced Facial Balance

noselab
2024년 12월 27일
2분 분량

최종 수정일: 8월 19일

[Nose Lab Clinic]

1. Procedure History and Patient Goals in Columella Symmetry Correction

Procedure History:

6 months prior: Radiesse filler (less than 0.5cc injected into the nasal dorsum)

Patient Goals:

Correct asymmetry in the nasal alae and nostrils
Refine the appearance of a wide nasal tip
Shorten the long philtrum for better facial balance

Design consultation photos showing frontal, left side, and oblique side views before columella symmetry correction and philtrum reduction. — Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

2. Preoperative Analysis for Columella Symmetry Correction

a. Frontal View:

Wide, bulbous nasal tip
Asymmetrical nasal alae and nostrils
Long philtrum, contributing to imbalanced facial ratio

b. Side View:

Upturned nasal tip
Noticeable protrusion of the upper lip

c. Nostril View:

Uneven nostril sizes
Rightward-tilted columella

Design consultation photos showing right side, oblique side, and nostril views before columella symmetry correction and philtrum reduction surgery. — Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

3. Surgical Approach and Execution – Focus on Columella Symmetry Correction

a. Structural Enhancements:

Complete removal of residual filler and foreign materials
Autologous rib cartilage used for septal extension and stabilization

b. Functional Improvements:

Corrected deviated septum via septoplasty
Turbinate reduction surgery for chronic rhinitis

c. Aesthetic Refinements:

Alar base reduction for balanced nasal base
Symmetrically reshaped nasal alae and nostrils
Sculpted a refined “straight bridge” line (직반라인)
Adjusted nasolabial angle to reduce philtrum prominence and soften lip protrusion

4. Postoperative Outcomes of Columella Symmetry Correction

Before (left) and immediately after (right) rhinoplasty photos showing frontal view improvements in columella symmetry and reduced philtrum length. — Before (Left) / Immediately After (Right)

a. Frontal View:

Sleeker, defined nasal tip
Corrected asymmetry of alae and nostrils
Shortened philtrum, improved facial proportion

Before (left) and immediately after (right) rhinoplasty photos in side view, showing improved nasolabial angle, lowered nasal tip, and balanced straight bridge line. — Before (Left) / Immediately After (Right)

b. Side View:

Natural lowering of upturned tip
Improved nasolabial angle, harmonious profile
Elegant straight bridge line

Before (left) and immediately after (right) rhinoplasty photos in oblique side view, highlighting refined nasal tip, shortened philtrum, and improved facial balance. — Before (Left) / Immediately After (Right)

c. Nostril View:

Corrected columella tilt
Symmetrical nostril size/shape
Balanced nasal base

Before (left) and immediately after (right) rhinoplasty photos in nostril view, showing corrected columella tilt and improved nostril symmetry. — Before (Left) / Immediately After (Right)

5. Expert Insights on Columella Symmetry Correction

Immediately after rhinoplasty surgery – frontal, oblique side, and side view photos showing refined nasal tip, corrected columella alignment, and improved nasolabial angle. — Immediately After Surgery: Frontal, Oblique Side, and Side View Photos

Immediately after rhinoplasty surgery – nostril view photo showing corrected asymmetry, columella support, and structural reconstruction. — Immediately After Surgery: Nostril View Photos

This case highlights how columella symmetry correction and philtrum reduction can dramatically enhance overall facial balance. By combining filler removal, autologous rib cartilage reconstruction, and functional improvements, we achieved both natural aesthetics and long-term stability.

Key Takeaways:

Shortening a long philtrum enhances lower face proportions.
Columella symmetry ensures a natural, harmonious appearance.
Structural, functional, and aesthetic corrections must be performed together for optimal results.

Closing Remarks

At Nose Lab Clinic, we believe true beauty lies in balance. Through precise columella symmetry correction and philtrum reduction, combined with closed rhinoplasty techniques, we deliver safe and natural outcomes that respect each patient’s individuality.

Nose Lab Clinic performs all surgeries through closed rhinoplasty.