Nosebleed surgery

Columella surgery to complete a three-dimensional side profile

Columella reshaping is a surgery that corrects the line extending from the tip of the nose to the lips.
It can improve overall proportions, correct protruding lips, add dimensionality, and lengthen a short nose.

Surgical information

Surgery time
Within 1 hours

Inpatient treatment
Discharge on the same day

Anesthesia method
general anesthesia

Recovery Period
Within about 1 week

Thread removal
7 days later

Recommended candidates for surgery

Those with deeply recessed columellas or drooping nostrils

People whose nasal bridge droops and whose nose looks long

People who look like they have a protruding mouth

For those worried about the tip of the nose drooping after rhinoplasty

For those concerned about the shape of the nostrils and the amount of exposure

BEFORE & AFTER
Nosebleeding

Move < > to see the before and after changes for yourself.

See more before and after photos

※ The photos above are before and after pictures of actual patients who underwent surgery at A-Top Plastic Surgery.

Nosebleeding KEY POINT

A beautiful side profile that accentuates the bead line

Protruding mouth correction & improvement of protruding upper mouth,
Preventing nose tip drooping after rhinoplasty

three-dimensional face

A more three-dimensional side line and
Improvement of nostril shape and reduction of exposure

Correction of the nose tip and philtrum line

Considering even the angle of the tip of the nose and the philtrum
Improvement in overall proportions and balanced nasolabial angle

Correction of nasal shape and length

Depending on the type, such as sunken columella or sagging columella
Delicate correction of the shape and length of the philtrum

A-Top Plastic Surgery Columella Surgery Angle of the Columella

Non-maintained angle

When viewed from the front, the width of the nostrils is about 1/5 of the total face,
The tip of the columella comes down about 2mm below the tip of the nose, and
Ideally, it should form an angle of about 10 to 15° with the nostrils.
However, finding a line that fits the individual's facial proportions is
Consultation with a plastic surgeon is necessary because it is the most important factor.

Nosebleeding CASE

CASE 01 | Sunken Nasal Pillar

When the columella is too recessed or the nasal wings are significantly droopy
A connecting graft is performed using septal extension, and the medial wing portion of the alar cartilage is advanced and fixed.
As a result, the sunken nasal bridge comes forward.

A-Top Plastic Surgery Nose Bridge Surgery for Sunken Nasal Pillar

CASE 02 | Droopy Nasal Pillar

When the columella droops significantly downward, making the nose look long
The medial wing portion of the alar cartilage located near the columella is retracted and fixed to the nasal septum cartilage to lift the sagging columella upward.
In addition to this, the sagging columella can be reduced by removing a portion of the septal cartilage.

A-Top Plastic Surgery Nose Subsurgery Sagging Nose Substratum

A-Top Rhinoplasty technology

We demonstrate our focus, technical expertise, and results in rhinoplasty.

Naturally through nasal bone and cartilage analysis

3D custom prosthesis

Existing implants

· Mass-produced implants by standard size
· Use after implant fragmentation
· Risk of side effects due to gap between bone and implant
· Concerns about implant movement and displacement

3D custom prosthesis

A-Top Plastic Surgery's 3D Custom Implant Technology 3D Custom Implants

· Diagnosis of nasal bone, skin, and cartilage shape using 3D-CT
· Production of implants tailored to the shape of the nose, including curvature, length, and height
· Minimizes side effects such as deformation and inflammation because the implant does not lift.
· Minimizes the possibility of implant migration and bending
· High improvement effect for deviated nose, hooked nose, etc.

Costs may apply depending on the case.

For detailed and precise surgery-

3D-CT scan

Using 3D-CT, the condition of the nasal cartilage, subcutaneous tissue,
You can determine the thickness and location of the bone in detail.
More detailed than when assessing the external shape of the nose with the naked eye
It is possible to establish a sophisticated surgical plan.

Precisely fitted to the shape of the nose-

3D Custom Implant Production

Unlike conventional implants that are standardized through mass production, nasal asymmetry, curvature, starting point, etc.
We manufacture custom implants for individuals that reflect anatomical structures.

Designed to reflect your needs, allowing you to adjust the desired nose shape, height, and line
It provides high satisfaction and fits precisely to the nose, which can reduce the risk of side effects.

Koline type

straight line

A straight line extending from the bridge of the nose to the tip,
Sophisticated and luxurious image

Direct line

The bridge of the nose is a straight line, and the tip is like a half-boot shape.
Slightly raised, giving a natural look

A-Top Plastic Surgery Nose Line Half-Upper Line

A-Top Plastic Surgery Nose Line, Upturned Line, Nose Shape

Half-sleeve line

A line with a soft, slightly upturned tip of the nose
Gorgeous and lovely image

cartilage type

Even subtle differences in angle or height at the tip of the nose can affect the overall image of the nose.
A-Top identifies individual characteristics to select the most ideal implant, designs the nose tip line, and meticulously secures it to ensure the tip maintains its shape over time.

ear cartilage

A-Top Plastic Surgery Types of Cartilage Septal Cartilage

nasal septum cartilage

A-Top Plastic Surgery Types of Cartilage Rib Cartilage

costal cartilage

A-Top Plastic Surgery Cartilage Types Donated Dermal Graft / Donated Cartilage

Donated dermis / Donated cartilage

Aftercare system

recovery program

with a recovery program
Relieves swelling and bruising
It speeds up recovery.

Swelling laser

For managing post-surgery swelling
Healite Care
It helps with stable recovery.

Self-care kit

with a self-care kit
Care even after returning home
Makes it possible.

High-pressure oxygen chamber

oxygen supply within tissues
Raises it after surgery
It helps with recovery.

Aftercare system

recovery program

with a recovery program
Relieves swelling and bruising
It speeds up recovery.

Swelling laser

For managing post-surgery swelling
Healite Care
It helps with stable recovery.

Self-care kit

with a self-care kit
Care even after returning home
Makes it possible.

High-pressure oxygen chamber

oxygen supply within tissues
Raises it after surgery
It helps with recovery.

Nosebleeding effect

Minimal use of implants and autologous tissue

By selecting implants and autologous tissues tailored to the individual
Custom design reduces the probability of side effects.

Nose shape that remains the same over time

During rhinoplasty, the nasal column is firmly aligned with the tip of the nose.
Secure it one more time so that the tip of the nose does not droop over time
It has a low probability of deformation and lasts for a relatively long time.

Ideal nose shape and side profile

Designs that suit my face, such as straight, half-curved, and half-curved.
Naturally from the forehead to the jawline, in addition to the bridge and tip of the nose
Complete the sloping side line.