nasal descent
DESCENDING NASAL BRIDGE
Balance the tip and bridge of your nose for an elegant look!
Subtle correction of the nasal bridge position
- Lower the nasal bridge to refine your profile! Achieve a subtle, elegant transformation.
- Improve facial balance by applying the golden ratio to your entire face! Achieve a beautiful, three-dimensional facial structure.
- Highly stable treatments utilizing your own tissue! Long-lasting results
Preview the finished result with 3D simulation!
Achieve your ideal nose
At Bianca Clinic, our nasal columella reduction surgery meticulously designs the procedure while carefully checking the balance with the tip of the nose and the mouth area, aiming for a natural and harmonious result. Before the procedure, we utilize the 3D simulation system "VECTRA®," enabling patients to preview the post-operative appearance from multiple angles—not just front and side views, but also oblique perspectives. This allows for concrete sharing of the planned columella reduction amount and line, helping prevent any misalignment in expectations between the patient and the surgeon.
Furthermore, when considering nasal columella reduction alone, or in combination with procedures like "nasal tip reshaping" or "septal extension," simulations allow you to visualize the results. This enables you to make a more confident decision regarding your treatment plan.
Furthermore, by utilizing auricular cartilage for grafting and meticulous suturing, we pursue a natural softness and high stability that blends seamlessly. Prioritizing safety and harmonious design that complements the entire face rather than excessive alteration is a hallmark of Bianca.
Schedule of Charges
PRICE LIST| Treatment Details | Standard rate |
|---|---|
| Nasal Bridge Lowering/Ear Cartilage Grafting | ¥330,000 |
Downtime
DOWNTIMERecommended for people like this
RECOMMENDED FOR:Features
CHARACTERISTICSNasal columella descent
Nasal columella reduction is a procedure that lowers the nasal columella—the central column of the nose—to refine the line from the tip of the nose to the mouth. When the columella is recessed, the nasal tip may appear rounded, ACRY-linemay appear disordered.
The columella is the central pillar separating the nostrils. Its harmony with the nasal tip and alar base determines the overall impression of the nose. In columellar reduction surgery, an incision is made inside the nose. Space is created in the columella using materials such as auricular cartilage, and if necessary, cartilage is grafted to lower its position.
For those seeking subtle changes, we may perform nasal columella lowering alone. However, when significantly lowering the columella or simultaneously lowering the nasal tip, we may combine this with septal extension or tip rhinoplasty.
*ACR…An indicator showing the balance of how the alar base (nostrils) and columella (the central column of the nose) appear when viewed from the front.
E-line... the line connecting the tip of the nose and the tip of the chin in profile.
Ear cartilage grafting creates a natural shape and softness!
For nasal columella reduction, we primarily use auricular cartilage harvested from your own ear. Auricular cartilage is thin and soft, making it easier to integrate with nasal tissue after transplantation and enabling a natural feel and shape. Using your own tissue also offers the reassurance of a relatively low risk of allergic reactions or foreign body reactions. The harvesting site is the ear.裏The scar is inconspicuous and does not significantly interfere with daily life.
Hyaluronic acid injections for columellar reduction are a non-surgical method to reshape the columella. However, since hyaluronic acid is absorbed by the body, patients seeking long-term changes often opt for columellar reduction surgery using ear cartilage.
At Bianca Clinic, we strive to achieve a natural and elegant finish while considering our patients' comfort.
A reassuring finish with scars that are barely visible from the outside
The main appeal of nasal columellar reduction is that it involves making an incision inside the nose, making external scarring less noticeable. The incision is typically placed in a position that is difficult to see from the outside, and meticulous suturing aims for a natural, well-integrated result.
After the procedure, temporary swelling or bruising may occur, but these typically subside within a few days to about 10 days. After that, you will gradually return to your normal daily activities. Sutures are removed one week later, and makeup can be applied starting the day after removal.
From these points, it can be said that this procedure yields natural changes that are less likely to be noticed by others. The final shape stabilizes over approximately six months to a year, and it can be expected to improve the long-term balance of the nose and profile.
Benefits
MERITNasal Columella Lowering Surgery to Improve Nasal Balance
We aim to refine the line from the tip of the nose to the columella and achieve an ACR.
Adjust the distance between the nose and mouth for an elegant facial appearance.
By adjusting the distance between the nose and upper lip through columellar reduction, we can achieve a more natural and refined facial appearance.
Long-lasting effects with just one treatment
This procedure utilizes the patient's own auricular cartilage, making it easier to maintain a natural shape and ensuring long-lasting results.
Recommended Features
RECOMMENDED POINTSDesign emphasizing skeletal structure and overall facial balance
In nasal tip lowering, we determine the design not merely by lowering the tip of the nose, but by considering the overall skeletal balance of the face, including the forehead, nose, mouth area, and chin.
The E-line, which significantly influences the impression of your profile, is formed by the relative positions of the nose, lips, and chin. Even slight changes can drastically alter its appearance. Therefore, at Bianca Clinic, we perform adjustments down to the millimeter level, aiming for a natural and harmonious profile.
Furthermore, excessive lowering can appear unnatural, so we propose the optimal design within the limits of the patient's skeletal structure and preferences. Nasal columella reduction prioritizes not only aesthetic beauty but also a natural appearance that blends seamlessly into daily life.
Share the image through prior Vector simulation
During counseling, we utilize the 3D simulation system "VECTRA®" to allow you to preview the final appearance after nasal columella reduction.
Vectra allows comparison not only from front and side views but also from oblique angles. This enables clear visualization of differences when performing nasal columella reduction alone or in combination with "nasal tip reshaping" or "septal extension surgery." Reviewing multiple preoperative patterns helps patients and surgeons establish a shared vision, reducing discrepancies between expectations and the final result.
Simulations also aid in design adjustments, helping to create natural lines that consider the overall balance of the face. This is a crucial step to help you feel confident about considering treatment.
Other procedures such as nasal septum extension may be performed concurrently as needed.
Nasal columella reduction can be performed as a standalone procedure, but it is often combined with other nasal procedures to achieve a more ideal result. For example, combining it with "nasal tip refinement," "nostril reduction," or "nasal bone osteotomy" makes it easier to create a harmonious, three-dimensional appearance for the entire nose.
Furthermore, for those seeking a more pronounced downward slope of the nasal tip, combining this with a septal extension procedure can create a stable profile. We determine the optimal combination of procedures by comprehensively evaluating each patient's preferences, bone structure, and the condition of their skin and cartilage, proposing a plan that is both achievable and appropriate.
Bianca Clinic is dedicated to procedures that prioritize a harmonious finish and aim for a nose shape that blends naturally over the long term.
Lifestyle Beautyis
proposed.
Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.
Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.
Treatment area
TREATMENT AREANasal septum (the vertical part in the center of the nose)
Treatment Process
CONTENT OF TREATMENTPhysician's examination and counseling
First, the doctor carefully examines the structure and balance of the nose and entire facial bones to confirm suitability for nasal columella reduction. During the consultation, we discuss your desired outcome and use Vector imaging to visualize the post-operative appearance from multiple angles. We share the anticipated results, address any concerns or questions, and proceed with the procedure only after you are fully satisfied.
Design
Based on the consultation, we determine the design by adjusting the nasal columella's descent and the tip angle down to the millimeter. We consider not only the nose but also its balance with the mouth and jawline, designing to ensure the E-line profile appears naturally harmonious. We prioritize achieving both beauty and functionality within the limits of the patient's skeletal structure, reflecting their ideal while ensuring no undue strain.
treatment
The procedure is performed with careful consideration for pain management, utilizing local anesthesia, intravenous anesthesia, or relaxation anesthesia. An incision is made inside the nose to create space in the columella, and ear cartilage is transplanted.
Depending on the desired degree of change, other procedures may be combined. Treatment time is approximately 60 minutes. Post-procedure, swelling and bruising may occur for several days as downtime, but these will subside over time.
Lifestyle Beautyis
proposed.
Our goal is to move you beyond satisfaction.
Responding to the desire for greater beauty and health,
What can we do for the well-being of our patients?
Providing total beauty to make your life shine,
That is our policy.
Go to BIANCA and you'll find a smile.
That's the kind of place we're aiming for.
Procedure: Nasal columella reduction
Estimated treatment period and number of sessions: Typically 1 session ※May vary depending on the condition.
Side Effects and Risks: Swelling, bruising, pain, infection, regression, asymmetry, etc.
Frequently Asked Questions About Nasal Bridge Reduction
Q&AHow is nasal septum lowering performed?
In columellar reduction surgery, an incision is made inside the nose, and cartilage is transplanted to the columella to adjust its position downward. In most cases, auricular cartilage is used, and procedures such as septal extension may be combined as needed.
Is the scar from the nasal septum lowering noticeable?
Since the columellar reduction is often performed through an incision inside the nose, external scarring is rarely noticeable. Redness and swelling may occur after surgery, but these gradually subside over time.
How much does nasal bridge descent hurt?
During the procedure, we use local anesthesia, intravenous anesthesia, or relaxation anesthesia to minimize discomfort. After surgery, some patients may experience more pain at the site where ear cartilage was harvested than at the nasal columella. However, most patients find the prescribed pain medication sufficient for control. If you have concerns about pain, please discuss them with us beforehand.
Can nasal septum lowering be done simultaneously with other rhinoplasty procedures?
Yes, it is possible to perform only nasal columella reduction surgery, but it is often combined with procedures such as "nasal tip reshaping," "nasal alar reduction," or "nasal bone osteotomy." The most suitable combination varies depending on the overall balance of the nose and the desired degree of change. We recommend discussing this thoroughly with your surgeon during your consultation.
What should I be careful about during the downtime after a columellar reduction?
The duration of downtime varies from person to person, but swelling typically subsides within a few days, and bruising usually resolves around 10 days. To ensure a smooth recovery, avoid sleeping on your stomach and strong stimulation to the nose. Continue taking prescribed medications and performing disinfection as directed. Keep the area around your nose clean until the stitches are removed, and follow your doctor's instructions.
How many follow-up appointments are needed after a nasal septum reduction?
Sutures are typically removed one week after the procedure, with a follow-up examination scheduled one month later. Should you have any concerns afterward, you are welcome to visit our clinic. Please feel free to consult us about any issues that may be troubling you.
How long does it take for the results of a nasal septum reduction to stabilize?
Nasal bridge lowering typically stabilizes within six months to a year, as swelling and puffiness take time to subside. While recovery varies from person to person, we will monitor your progress through regular check-ups to assess your condition.
Does a deviated nasal septum affect nasal breathing?
The nasal septum lowering procedure itself is performed from inside the nose, so it typically has little significant impact on nasal breathing. If you have any concerns, please discuss them during your consultation.
Are there cases where nasal septum lowering cannot be performed?
Depending on skin firmness and the condition of the nasal bridge and cartilage, the procedure may be difficult to perform. Additionally, individuals who are pregnant or have pre-existing medical conditions may not be eligible for the procedure based on their health status. A doctor will determine the details during the consultation.
Is revision surgery for nasal columella descent possible?
Revision surgery for nasal septum deviation is possible depending on your condition and preferences. The doctor will determine the suitability and method of revision surgery after comprehensively assessing the condition of your nasal tissue and your desired outcome.
RESERVATION