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Nose Job
Nose job become center of face. at AONE PLASTIC SURGERY

Alar rim raising / Lowering
Columella raising / Lowering

Columella is the lower part of the nasal septum, alar side wall is outer part of nose that is connected with cheek. In front view, columella should be lower than alar side wall and alar side wall should have natural curve. In profile view, columella and alar side wall should make round shape which shows form of nostril. But short columella and low alar side wall makes unattractive shape of nose
  • Alar side wall and columella

  • Façade of alar side wall and columella

  • Nasal profile

  • Unattractive nasal tip shape

Classification
There are 4 different case of alar side wall and columella
01.Hanging columella
02.Retracted columella
03.Hanging ala
04.Retracted ala
Surgical method
01.Raising columella : Columella is raised with nasal tip correction
  • Before columella raising

  • After columella raising

02.Lowering columella ( In case with high columella ) : Columella can be lower down with columella extending during nasal tip operation.
  • Before columella lowering

  • After columella lowering

03.Rasing alar side wall ( In case of low alar side wall ) : Inner nasal skin is excised in order to raise alar side wall.
Click here to see reference of Alar side wall lift >
  • 01. This part need to be lifted.

  • 02. Inner nasal skin is excised in round shape.

  • 03. Alar side wall is lifted but columella is lowered down.

  • 04. Surgical result

04.Lowering alar rim (Nostril show due to contracted alar side wall)
: Cartilage and skin tissue is harvested from ear ( composite graft ). Make a pocket in inner nasal skin to insert composite graft in order to lower alar side wall
Click here to see reference of lowering alar side wall and lifting columella > Click here to see reference of Lowering alar side wall >
  • 02. Insert cartilage and skin ( composite graft ) on inner nasal pocket.

  • Ala rim Graft

05.Combined method can be used by case
watch in details >
  • Raising alar rim, Lowering columella

  • Raising alar rim, Lowering columella

Surgical result

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