Correcting Nasal Tip Drooping and Columella Narrowness – Functional & Aesthetic Revision

Comprehensive Columella Narrowing Correction in Korea for Aesthetic and Functional Restoration

This is Dr. Cha–Young Kang from NOSELAB Clinic.

Today’s case features a patient who underwent a columella narrowing correction in Korea to address both functional issues—such as postnasal drip and nasal congestion—and aesthetic concerns like a drooping nasal tip, wide nostrils, and a narrow columella.

Columella Narrowing Correction Korea: Patient History and Symptoms

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Surgical History

• 11 years ago: Septal cartilage graft with silicone implant

• 10 years ago: Filler injection (later dissolved)

• 6 months ago: Ear cartilage graft

Functional Concerns

• Constant postnasal drip

• Nasal obstruction and breathing discomfort

Aesthetic Concerns (Frontal View)

• Crooked nasal contour

• Wide nostrils and asymmetric alar base

• Bulbous and drooping nasal tip

• Narrow columella

Aesthetic Concerns (Side View)

• High radix with a sharp starting point

• Drooping nasal tip

• Long-looking philtrum

• Wide nasolabial angle

Nostril View

• Visible nostril asymmetry

• Leftward-deviated columella

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan for Columella Narrowing Correction in Korea

To achieve both structural stability and natural refinement, we planned the following:

Structural Procedures

• Septal extension using autologous cartilage

• Repositioning and reinforcement of nasal framework

• Nasolabial angle correction

• Septoplasty and turbinate reduction for improved breathing

Aesthetic Refinement

• Alar base reduction

• Tip reshaping to correct bulbous appearance

• Lowering the radix

• Enhancing philtrum proportions

Postoperative Results of Columella Narrowing Correction

Before and after columella narrowing and tip drooping correction – real case from Korea.

Functional Outcomes

• Postnasal drip significantly improved

• Breathing became easier

Before Surgery (Left) / Immediately After Surgery (Right)

Aesthetic Outcomes (Frontal View)

• Balanced nasal tip and columella

• Reduced nostril exposure

• Refined tip with better projection

Before Surgery (Left) / Immediately After Surgery (Right)

Aesthetic Outcomes (Side View)

• Harmonized nasal profile

• Drooping tip corrected

• Lowered radix and softer starting point

• Shorter-looking philtrum

Before Surgery (Left) / Immediately After Surgery (Right)

Nostril View

• Improved nostril symmetry

• Aligned columella

Before Surgery (Left) / Immediately After Surgery (Right)

Expert Insight

Immediately after surgery: Frontal view, side view, and oblique side view photos.

Immediately after surgery: Nostril view photos.

This complex case of columella narrowing correction in Korea required a multi-dimensional approach.

Using septal extension with autologous cartilage, we corrected the deviated and narrowed columella

while supporting the drooping nasal tip.

The radix was lowered and the tip reshaped for a softer, more harmonious look.

Functionally, septoplasty and turbinate reduction resolved postnasal drip and nasal blockage.

This patient’s outcome reflects the successful combination of both aesthetic finesse and medical expertise.

Thank you for reading.

This has been Dr. Cha–Young Kang from NOSELAB Clinic.

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