Columellar elevation surgery
Surgery to elevate the nasal columella upward and balance the relationship between the columella and alar rim in profile
Recommended for
- Those whose drooping columella makes their profile appear unnatural
- Those with excessive height difference between the columella and alar rim (columella protruding too much)
- Those wanting to refine the balance of the subnasale (philtrum area)
- Those considering it for balance adjustment in conjunction with other nasal surgeries
What is Columellar elevation surgery?
Columellar elevation surgery is a procedure that repositions and stabilizes a drooping nasal columella (columella) upward to correct the positional relationship between the columella and alar rim in profile (Columellar-Alar Relationship). The ideal columellar show is approximately 2–4 mm, and surgery is indicated when the columella droops beyond this range.
Surgical method
The procedure involves elevating and stabilizing the skin and subcutaneous tissue of the nasal columella. When combined with strut (support) grafting using auricular cartilage, the elevated position can be stabilized. The technique can be open (small columellar incision) or closed approach.
Downtime estimate
Swelling and bruising typically subside within 1–2 weeks. Final shape stabilization is expected at 3–6 months post-op (individual variation).
Features
This treatment resolves the condition where the nasal columella droops excessively, like a witch's nose. It is recommended for those whose nostrils become prominent due to a dropped columella. By elevating the overly extended columellar portion, we create a refined line.
Treatment details
- Treatment time
- 60 minutes
- Fixation
- Splint fixation in some cases (72 hours)
- Downtime
- 3–7 days
- Swelling
- Mild swelling may occur.
- Scarring
- Inside the nostrils
- Follow-up visits
- 1 visit at 1 week
- Suture removal
- 7 days
- Durability
- Semi-permanent
- Face washing
- Allowed except over the splint
- Makeup
- Allowed except on the nose
- Showering
- Allowed from the neck down starting the next day
- Bathing
- OK from 1 week onward
Pricing
Columellar elevation surgery
| Treatment | Price (incl. tax) |
|---|---|
| Dr. Tetsu |
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| Other doctors |
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※ All prices include tax.
FAQ
What is the difference from columellar depressor surgery?
Columellar elevation surgery is for "returning an overly drooping columella upward," while columellar depressor surgery is for "extending a columella that is too short and hidden upward downward." The problem direction is opposite. We will recommend the appropriate technique during consultation.
ZetithAIに続けて聞く →Can it revert after surgery?
When fixed with a strut (cartilage), it remains relatively stable. With sutures alone, slight reversion may occur due to scar contracture. The attending surgeon will select the optimal fixation method (individual variation).
ZetithAIに続けて聞く →How much downtime is there?
Swelling and bruising typically subside within 1–2 weeks. Final results are expected at 3–6 months post-op (individual variation).
ZetithAIに続けて聞く →Can it be done simultaneously with other nasal surgeries?
Simultaneous surgery with tip refinement, auricular cartilage grafting, and alar reduction is possible. The overall nasal balance can be refined with a single downtime period.
ZetithAIに続けて聞く →Consultations about this treatment are free.
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