The morphologic characteristics of Asian nose are a short or retracted columella, an acute nasolabial angle, and deficient tip projection. Both operative rhinoplasty and filler rhinoplasty have been used to improve the columellar angle and the tip of the nose in Asia. However, the possibility that complications may occur following aesthetic interventions from the vascular compromises at the columella, for example, skin necrosis, deformity, and blindness. Thus, it is crucial to operate the aesthetic approach by understanding the detailed configurations of the columellar artery that might help physicians minimize the chances of adverse events.