Columella's nose. The shape and structure of the nose

Rhinoplasty is a concept that includes many different techniques for changing the shape of the nose. Some patients require work with the bony part of the back, others - with the cartilaginous part, and third - with the soft tissues of the tip of the nose. Often there is a need for the correction of columella. And what it is, how this part of the nose is corrected and what effect can be achieved with the help of surgical intervention, you can find out by comprehensively considering this issue.

Columella - what is it?

Columella of the nose is the part of the skin located between the nostrils. Anatomically, the columella includes the medial legs of the cartilage of the wings of the nose, but they are not visible visually. Sometimes it is called a column or column of nose.

This small fragment of the nose performs a number of important functional tasks in normalizing the breathing process. By supporting the tip of the nose and maintaining the optimal lumen of the nostrils, it makes it possible to freely inhale and exhale air. So, to provide the body with oxygen, participating in all biochemical processes.

What should a columella look like?

A small area of ​​skin called the columella of the nose plays a huge role in the perception of the nose as a harmonious part of the human face. A beautiful columella should have the following qualities:

• its width should not exceed 5-7 mm;
• the angle between the nose and lip should be about 100 degrees in women, 95 degrees in men;
• the column should not sag;
• when looking at the face, the full face of the columella should be located lower than the wings of the nose;
• the nostrils should be symmetrical.

If you ignore these rules, any rhinoplasty will not be successful. The nose will look disharmonious, and a person can go for a second plastic surgery. At the same time, as in other cases, a simple correction operation can give a more pronounced result.

Problems with columella

What problems can be with columella to require plastic surgery of the nose - rhinoplasty?

Based on how the ideal size and shape of the columella should look, we can highlight the problems that potential plastic surgeon patients most often encounter:

• the nasal column is sagging;
• columella is too high;
• the angle between the nose and lip is too large, or, on the contrary, small.

A person can regard his nose as too wide, with a bent tip, snub. But in order to adjust the appearance, it is not necessary to do complex and traumatic operations to change the shape of the back or its tip. Simply change the nose column.

Non-surgical correction

In the event that the nasal column is small, that is, the angle between the nose and lip is increased, and there the nose looks snub-nosed, or the leg of the columella and the wings of the nose are located at the same level, non-surgical rhinoplasty can be used .

Its meaning is to introduce a special preparation under the skin - a filler, which increases the volume of tissues. As a result of this, the columella of the nose becomes larger, and the nose itself looks harmonious. During the procedure, the doctor inserts the filler into the columella in the required volume through the needle. Intervention causes a minimum of pain, but if you wish, you can use anesthetic injection.

The advantages of the method are:

• minimum rehabilitation period;
• short duration of the procedure;
• lack of need to do analyzes and functional studies before the procedure.

The main disadvantage of this method is its fragility. The duration of the effect depends on the drug that was injected into the soft tissues of columella: a more viscous gel will stay in the tissues longer. But it is necessary to take into account the individual characteristics of a person.

The safety of the method is great, but relative: the introduction of any substance into the body can become a catalyst for pathological processes, for example, exacerbation of chronic diseases, the development of autoimmune diseases. In order to avoid such consequences, you need to undergo a medical examination and consult with your doctor.

Surgical correction of columella

If the columella is large or sagging, the only correction method is surgery.

But the methods that the surgeon resorts to when performing the operation may be different. Correction of the columella of the nose should be discussed by the doctor and the patient before surgery, so that the operated person remains as satisfied as possible with the result.

The easiest way to reduce columella is to excise soft tissue, and, if necessary, adjacent cartilage. Understanding how the nasal septum is associated with the columella, we can conclude that in some cases it will be necessary to reduce the length of the septum itself, and only then - pulling the columella.

During the preparation period, the doctor decides which operation technique will be more justified in a particular case: raising the nose column, or deepening it to create a harmonious angle between the nose and upper lip.

For patients who are not satisfied with a temporary solution to the problem in the form of a biogel injection in the cosmetologist’s office, there is a way to preserve the result for a long time using surgical intervention. In this case, we are talking about lowering the columella or filling the columnar labial angle.

For this, cartilage implants can be used, which are installed in the area of ​​the columella in order to lengthen the nasal septum. The implant is fixed using suture material.

Columella change during rhinoplasty

The goal of a plastic surgeon is not only to correct a specific flaw, but also to preserve the overall harmony of the nose and face, and also to make it as simple as possible. Sometimes the nasal columella has an irregular shape, but working with it will not make the face beautiful, but, on the contrary, will make other features more obvious.

Therefore, sometimes to correct the nasal column, the doctor can make a volume correction, based on the structure of the nose in a person who has come to the plastic surgery clinic. The doctor can change the tip of the nose, raise it higher, thereby pulling up the columella. Sometimes the plasticity of the wings of the nose is effective when the surgeon carries them higher, so the column, remaining in its original place, becomes visually lower.

Therefore, preparation for surgery is a productive collaboration between the patient, who must explain what the result of the surgical intervention he wants to see, and the doctor who knows the structure of the nose and person and understands what results and by what methods can be achieved.

Is anesthesia necessary?

The need for anesthesia during surgery is determined by the amount of work to be performed by the surgeon. If the doctor plans to simply excise excess tissue, thereby lifting the nose to the desired height, you can use local anesthesia. For large-scale surgery, it is better to use general anesthesia.

The benefits of anesthesia for rhinoplasty can be identified by at least two arguments:

• the patient, being in a medical dream, does not experience excitement, is not able to make involuntary movements, in other words, prevent the surgeon from performing “jewelry” work on his face;
• with general anesthesia, the need to use local anesthetics decreases, so the doctor gets the opportunity to work with "living" tissues, and not with various drugs injected.

To find out if anesthesia is needed in a particular case, it is better to consult a doctor. Estimating the scope and duration of the proposed work, as well as the degree of pain in the manipulations, he should recommend the patient the most suitable option for a specific operation.

Preparation for surgery

Rhinoplasty in Moscow, St. Petersburg and other cities of Russia requires a mandatory medical examination of the state of health before the intervention. For this, there is a list of laboratory tests and functional studies.

In addition, an opinion from the attending physician and, in the presence of chronic diseases, a doctor of specialization may be required.

Rehabilitation

How long rehabilitation after rhinoplasty will last depends on many factors: the doctor’s experience, the vastness of the interventions, the patient’s health status, and the thoroughness of fulfilling all the surgeon’s instructions.

On average, the healing time of tissues during surgery on the nose is two weeks. But if the doctor corrected only columella, a person can return to normal life after 2 days.

Useful Tips

It is quite possible to reduce the risk of an unsuccessful intervention, if you remember the brief reminder for the plastic surgeon's patient.

1. Choosing a doctor is half the success. It is important to choose a specialist who will have experience in correcting noses with just such aesthetic defects. Of course, finding such a doctor for rhinoplasty in Moscow or another big city is much easier.
2. Before the operation, colds, emotional and physical stresses should not be allowed.
3. After the operation, you need to give the body time to heal the tissues, carefully observing all the recommendations of the surgeon.

Rhinoplasty is the most common plastic surgery in the world, which is resorted to by people of any age and gender. And there is a reason for this: it is the nose that is called the part of the face that affects the beauty of a person to a greater extent. Therefore, even slightly changing the structure of the nose of a person, you can achieve a beautiful result.