Columellar lowering
A procedure to extend the nasal columella downward and create natural, beautiful nasal lines
Recommended for
- Those whose nasal columella is hidden behind the ala when viewed from the side
- Those with minimal columella-alar relationship (height difference between the columella and nostril rim)
- Those whose nostrils are prominently visible from the front below the nose
- Those desiring columellar lowering as part of overall nasal surgery balance adjustment
When the nasal columella is hidden behind the ala from a side view, the nose can appear large and overly rounded.
By lowering the columella, it becomes possible to create natural and beautiful nasal lines.
Features
Extend the position of the columella (nasal columella) downward
By moving and extending the nasal columella tissue downward, the columellar show (lateral profile nasal columella exposure) is adjusted to an appropriate balance. The ideal exposure is approximately 2–4 mm.
Stabilize the shape by combining with cartilage grafting
Auricular cartilage is transplanted as a strut (support) to stabilize the lowered columellar position and maintain the shape long-term.
Frequently combined with other nasal surgeries
This procedure is often combined with nasal tip refinement, auricular cartilage grafting, and alar base reduction to balance the entire nose in a single session.
Treatment details
- Procedure time
- 60 minutes
- Fixation
- None
- Downtime
- 3–7 days
- Swelling
- Mild swelling may occur.
- Scarring
- Inside the nostrils
- Follow-up visits
- Once at 1 week
- Suture removal
- 7 days
- Longevity
- Semi-permanent
- Face washing
- Permitted immediately
- Makeup
- Permitted immediately
- Shower
- From the neck down permitted from the next day
- Bathing
- OK after 1 week
- Notes
- Tragus
Pricing
Columellar lowering
| Treatment | Price (incl. tax) |
|---|---|
| Dr. Tetsu |
|
| Other Doctor |
|
※ All prices include tax.
FAQ
How is columellar lowering different from septal extension?
Columellar lowering primarily moves the "outer" skin and tissue of the nasal columella downward, while septal extension lengthens the internal septal cartilage to alter the entire nasal tip (including height and direction). The appropriate procedure depends on the degree of deformity and desired changes.
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 around 3–6 months post-procedure (individual variation).
ZetithAIに続けて聞く →Where will scars remain?
A small scar remains on the nasal columella (the pillar-like structure between the nose and mouth). While it becomes less noticeable over time, it does not completely disappear (individual variation). Stabilization occurs around 3–6 months post-procedure.
ZetithAIに続けて聞く →Will the results revert after surgery?
With support from auricular cartilage, the shape remains relatively stable. With suturing alone, some rebound may occur. The surgeon will select the optimal fixation method (individual variation).
ZetithAIに続けて聞く →Consultations about this treatment are free.
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