Rhinoplasty Revision & Non-Incisional Alar Reduction (No-Scar Alar Reduction)

Basic Information

# Female in her 20s

# History of rhinoplasty several years ago (+)

# Over time, the columella has gradually retracted and the nasal tip has drooped. Her main complaint is that her nose looks too bulbous in photos, making it the only prominent feature on her face.

* Consultation

# The patient visited our clinic because she became increasingly dissatisfied with the shape of her nose years after her initial surgery.

# She mentioned that the retracted columella and blunt nasal tip were her biggest concerns. While a bulbous nose was traditionally called a ‘bok-ko’ (lucky nose) in Korea, many people now seek improvement because it can create a heavy or blunt impression.

# Additionally, the significantly retracted columella gave her profile a somewhat ‘stuffy’ or closed-off look. We planned to create an ideal nasolabial angle through columellar lengthening (columellar pull-out).

# Since she also felt stressed about her nostrils flaring whenever she smiled, we decided to perform a non-incisional alar reduction simultaneously.

* Surgical Plan

# Secondary Tip Plasty (Bulbous nose correction, Columellar lengthening)

# Secondary Rhinoplasty (Nasal bridge)

# Non-incisional Alar Reduction (No-scar alar reduction)

* Post-operative Progress

# By correcting the bulbous tip, we achieved a slimmer and more refined nose.

# Before surgery, the nasal tip was drooping and the columella appeared retracted. By using the nasal septum and donated costal cartilage to pull the columella out, the nasolabial angle was restored. The line connecting the nose to the philtrum now looks much more sophisticated and beautiful.

Consultations and surgeries should be performed by a board-certified plastic surgeon!

The VIBE that comes from rich experience.

Vibe Plastic Surgery Clinic, Chief Surgeon Young-moon Yoo

Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.

Frequently Asked Questions

In what cases can nose revision surgery be considered?

Yes, nose revision surgery can be considered when the shape of the nose has unsatisfactorily changed over time after a previous rhinoplasty, or when problems such as a retracted columella and a drooping nasal tip occur. The patient in this case also visited for these reasons.

How is non-incisional alar reduction performed?

Yes, non-incisional alar reduction is a method of reducing the alar without incision. In this case, non-incisional alar reduction (Noscar Alar Reduction) was performed to improve the spreading of the nostrils when smiling.

How does bulbous nose surgery improve the shape of the nose?

Yes, bulbous nose surgery is a procedure that refines a blunt nasal tip to create an overall sophisticated nose line. In this case, a second tip plasty was performed to correct the bulbous nose and create a slender nose.

What is columella lengthening (columella lowering) surgery?

Yes, columella lengthening surgery is a procedure that improves a retracted columella that makes the nose look stuffy, creating an ideal nasolabial angle. The columella is lengthened using the septal cartilage and donated costal cartilage to create a sophisticated line connecting the nose to the philtrum.

What materials were used for nose revision surgery?

Yes, in this case, surgery was performed to lengthen the columella using septal cartilage and donated costal cartilage. This helped to enhance the nasolabial angle and improve the nose line.