Bulbous Nasal Tip Correction with Autologous Rib Cartilage – A Straight-Line Rhinoplasty Case

[Nose Lab Clinic]

Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.

Today, I’d like to share a rhinoplasty case focusing on Bulbous Nasal Tip Correction, where the patient sought a refined nasal tip, a more structured bridge, and improved facial harmony. By using autologous rib cartilage, we achieved a sleek straight-line profile (직반라인) while correcting the bulbous tip and enhancing overall facial proportion.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

1. Initial Assessment & Concerns – Bulbous Nasal Tip Correction Focus

Findings:

🔹 Bulbous, wide nasal tip

🔹 Mildly convex (humped) nasal dorsum

🔹 Slightly protruding mouth (돌출입)

🔹 No functional breathing issues

2. Patient’s Aesthetic Goals

• Refined, more defined nasal tip through Bulbous Nasal Tip Correction

• Elevated nasal bridge with smooth straight-line profile

• Natural dorsal transition without an exaggerated curve

• Harmonized nasal tip projection

• Preference for autologous rib cartilage over synthetic implants

Reference Images Desired by the Patient

3. Surgical Plan & Execution – Detailed Bulbous Nasal Tip Correction

a. Structural Enhancements

• Septal extension graft using autologous rib cartilage for long-term stability

• Nasal tip cartilage repositioning for a sharper contour

• Smooth, structured nasal bridge to achieve the straight-line (직반라인) aesthetic

b. Shape & Contour Refinement

• Width reduction of the bulbous tip through controlled cartilage reshaping (Bulbous Nasal Tip Correction)

• Improved facial balance by refining nasal projection

• Height adjustment for natural proportions

c. Final Adjustments & Detailing

• Enhanced tip projection with a defined yet natural point

• Smoothed nasal contours for a seamless look

• Optimized symmetry and proportion balance

4. Post-Surgical Outcomes

Frontal View

• Sleek, well-defined nasal tip after Bulbous Nasal Tip Correction

• Balanced nasal width

• Natural dorsal contour

Before (Left) / Immediately After (Right)

Side Profile

• Straight-line nasal bridge with refined projection

• Enhanced facial proportions

• Subtle correction of protruding mouth perception

Before (Left) / Immediately After (Right)

Three-Quarter View

• Smooth forehead-to-nose transition

• Corrected nasolabial angle

• Elegant and proportional nasal structure

Before (Left) / Immediately After (Right)

Nostril Symmetry

• Corrected asymmetry

• Natural curvature with improved balance

• Reduced flaring for a more delicate look

Before (Left) / Immediately After (Right)

5. Expert Insights – Why Bulbous Nasal Tip Correction Matters

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos

Immediately After Surgery: Nostril View Photos

Why Autologous Rib Cartilage?

• Long-term durability

• Natural tissue integration

• Avoids risks from synthetic implants

• Provides strong structural support for sustained refinement

Key Success Factors:

• Achieving a straight-line dorsum without an artificial look

• Meticulous nasal tip refinement for natural projection

• Maintaining stability while balancing harmony and proportion

At Nose Lab Clinic, all surgeries are performed using the closed rhinoplasty approach.

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