Nostril rim lowering surgery

Nostril rim lowering surgery

Surgery to lower the nostril rim and refine the appearance of the nostrils and their relationship to the columella

Recommended for

  • Those whose nostrils are prominent when viewed from the front
  • Those whose nostril rims are positioned too high
  • Those who wish to refine the height difference between the nostrils and columella (Columellar-Alar Relationship)
  • Those who wish to combine the procedure with overall nasal surgery to balance the nose

What is nostril rim lowering surgery?

Nostril rim lowering surgery (鼻孔縁下降術) is a procedure that surgically lowers the position of the nostril edge (nostril rim or alar rim), making the nostrils less noticeable when viewed from the front. The ideal Columellar-Alar Relationship is defined as a standard indicator in plastic and reconstructive surgery, with the columella positioned approximately 2–4 mm below the nostril rim being considered aesthetically balanced.

Surgical overview

The position of the nostril rim is moved and extended downward using skin and subcutaneous tissue of the nostril rim (or cartilage-bearing flap). Methods primarily employ auricular cartilage or composite grafts, or local flap techniques. The choice of technique varies depending on the degree of deformity and thickness of the nostril rim.

Downtime estimate

Swelling and bruising typically subside within 1–2 weeks. Final shape stabilization is expected within 3–6 months post-surgery (varies by individual).

Features

This is an effective procedure for cases where the nostrils appear sharply defined when viewed from the front or side. It is recommended for those who are concerned about the appearance of their nostrils when looking in the mirror, or who feel self-conscious about their nostrils during conversations and hesitate to face others directly.

Treatment details

Procedure time
60 minutes
Immobilization
Nasal tip splinting (72 hours)
Downtime
3–7 days
Swelling
Slight swelling may occur.
Scarring
Inside the nostril
Follow-up visits
Once at 1 week
Suture removal
7 days
Longevity
Semi-permanent
Face washing
Possible from 72 hours onward (gentle wiping is acceptable immediately)
Makeup
Possible from 72 hours onward (gentle wiping is acceptable immediately)
Showering
From the next day, from the neck downward
Bathing
Okay from 1 week onward
Remarks
Tragus

Pricing

Nostril rim lowering surgery

Treatment Price (incl. tax)
Dr. Tetsu
  • Monitor¥220,000
  • Regular¥275,000
Other doctors
  • Monitor¥198,000
  • Regular¥242,000

Nostril rim elevation

Treatment Price (incl. tax)
Dr. Tetsu
  • Monitor¥220,000
  • Regular¥275,000
Other doctors
  • Monitor¥198,000
  • Regular¥242,000

※ All prices include tax.

FAQ

How much can the nostril rim be lowered?

This varies depending on the degree of deformity and the amount of skin available, but generally 2–4 mm of lowering is the guideline. Excessive lowering carries risks of an unnatural appearance or rebound, so proper planning is essential (varies by individual).

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Where will scars remain?

Scars will remain on the nostril rim (the edge of the nostril). Over 3–6 months post-surgery, scars become less noticeable, but they do not disappear completely (varies by individual).

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Can this be performed simultaneously with other nasal procedures?

Simultaneous surgery is possible with nasal tip refinement, septal extension, or alar reduction. The entire nasal structure can be balanced in a single downtime period.

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Will the result revert after surgery?

Scar contracture may cause minor rebound over several months post-surgery. With this in mind, sufficient lowering is ensured during the procedure (varies by individual).

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Consultations about this treatment are free.

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