How to lower the radix and columella together

Hello.

I am Dr. Peter C. Kang, medical director.

Today, I would like to discuss procedures for lowering the radix and lowering the columella.

For this type of case, the patient's request was very simple and clear: "I really dislike how high my radix is, and the shape around the nasal tip and columella does not look good. Please correct this."

Cases like this are actually quite difficult to design. That is because the patient has few other complaints but wants to correct only a few specific areas. In particular, lowering the radix requires completely removing the implant and placing a new implant in a new position, while lowering the columella requires revising the entire nasal tip.

In other words, these are areas that can only be adjusted by reworking the entire nose.

• To maximize the effect of lowering the radix, I planned to raise the nasal tip height slightly more than its current level to provide more dimension.

• I planned to lower the columella slightly to give the nasal tip a more natural appearance.

• I planned to set the tip defining point slightly higher than before so that the nose would not look overly long.

Compared to before surgery, the radix was lowered nicely, the tip defining point was shifted slightly higher, and the columellar line became more natural.

The radix was clearly lowered, and the nasal tip became more natural.

The crooked nose was corrected, and you can see that the nasal tip and columella are positioned more naturally downward compared to before surgery.

You can see improvement in the nostril asymmetry and the pinched area on the right alar wing.

Basal (nostril) view immediately after surgery (Day 0)Immediate postoperative photos show swelling and may differ from the final result.

Lowering the radix plays an important role in controlling the overall length of the nose, and it can also bring about a change in the impression around the eyes. While a high radix has the advantage of making the dorsal line appear distinct, it also has the disadvantage of making the eyes look crowded together or giving a harsh impression.

Lowering the columella is a critical procedure that defines the refinement of the nasal tip. A very subtle difference changes the feel of the nasal tip and can alter the nasolabial angle, which can also help improve the appearance of a protruding mouth.

Today, I shared a brief overview of procedures for lowering the radix and lowering the columella.

This was Dr. Peter C. Kang. Thank you.