Facial plast Surg 2016; 32(04): 333-338
DOI: 10.1055/s-0036-1585575
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Columellar Aesthetics in Open Rhinoplasty

Russell W.H. Kridel1, Edward S. Kwak2, Jeffrey B. Watson1
  • 1Division of Facial Plastic Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Texas Health Sciences Center, Houston, Texas
  • 2Otolaryngology - Head and Neck Surgery at Icahn School of Medicine at Mount Sinai, New York, New York
Further Information

Publication History

Publication Date:
05 August 2016 (online)


Detailed descriptions of the ideals of columellar aesthetics and nostril shape are conspicuously lacking from the medical literature. Achieving an aesthetic nasal base is critical to an optimal rhinoplasty result. Deviations in the columella and variations in its width and height lead to distortion of nostril shape and frequently compromise function. Six types of columellar disproportion are presented with detailed explanations of how to treat each. By properly recognizing and addressing columellar deformities, the surgeon can optimize both the aesthetic and functional results that are achieved.