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Bulbous Nasal Tip Correction with Rib Cartilage – Natural and Stable Results

  • noselab
  • 2월 22일
  • 2분 분량

최종 수정일: 9월 26일

[Nose Lab Clinic]


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


Today, I’m sharing a case of bulbous nasal tip correction using autologous rib cartilage. This patient had previously undergone surgeries that weakened their nasal structure, making precise reconstruction essential for both form and function.

Preoperative frontal, oblique, and side view photos showing a patient with bulbous nasal tip, wide nasal bridge, and nasal asymmetry prior to revision rhinoplasty using rib cartilage reconstruction.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Initial Diagnosis – Bulbous Tip and Wide Nose Structure

Past Surgical History

  • 4 years ago: Septal + ear cartilage graft, silicone implant, alar base reduction


Preoperative Concerns

  • Broad nasal tip and bridge

  • Bulbous and undefined tip

  • Nostrils asymmetry

  • Drooping tip and blunt side profile

  • Mild nasal deviation

  • Slight maxillary protrusion

Preoperative design consultation photos showing the patient's right profile, oblique view, and nostril base view before revision rhinoplasty with rib cartilage for correcting bulbous tip and nostril asymmetry.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Surgical Strategy for Bulbous Nasal Tip Correction

Structural Reconstruction

  • Reinserted original septal cartilage from previous surgery

  • Rib cartilage graft for septal extension

  • Lateral osteotomy to narrow the wide nasal bridge


 Aesthetic Enhancements

  • Reduced bulbous tip using precise cartilage shaping

  • Adjusted tip projection and rotation

  • Alar base refinement for nostril balance


Functional Adjustments

  • Improved nasolabial angle and columella projection

  • Correction of mild nasal deviation


Postoperative Results – Balanced and Refined Nose

Before and immediately after photos showing frontal view of patient’s nose. Rib cartilage was used to correct bulbous tip and nasal asymmetry in a revision rhinoplasty.
Before (Left) / Immediately After (Right)

Frontal View

  • Slimmer, well-defined nasal bridge

  • Improved nostril symmetry

  • Natural correction of bulbous nasal tip

Side view comparison before and immediately after surgery. Rib cartilage was used to refine bulbous tip, lift drooping nasal tip, and improve overall nasal projection.
Before (Left) / Immediately After (Right)

Side View

  • Lifted, more refined nasal tip

  • Balanced nasolabial angle

  • Softened mouth projection

90-degree side view before and immediately after surgery. The nasal tip was lifted and reshaped using rib cartilage, correcting droopiness and enhancing facial profile balance.
Before (Left) / Immediately After (Right)

Three-Quarter View

  • Harmonized nasal contour and definition

  • Naturally projected nasal tip

Nostril view before and immediately after surgery. Corrected severe nostril asymmetry and wide nasal tip using rib cartilage reconstruction.
Before (Left) / Immediately After (Right)

Expert Commentary – Importance of Structural Integrity

Surgical Challenges

  • Previous surgeries weakened the structure

  • Functional breathing preservation was essential

  • Rib cartilage provided durable and safe reconstruction.


Key Insights

  • Bulbous nasal tip correction requires precise cartilage handling

  • Functional correction should never be sacrificed for aesthetics

  • Autologous materials ensure long-term success


Final Thoughts – A Natural, Stable Outcome

This case proves that bulbous nasal tip correction can be achieved naturally and stably through rib cartilage grafting.The patient achieved:

  • A slimmer, refined nasal line

  • Balanced nostrils and nasal base

  • Long-term structural reinforcement and improved breathing

Postoperative frontal, lateral, and oblique view immediately after rhinoplasty using rib cartilage. Improved nasal tip projection and nostril symmetry.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediate postoperative nostril view showing improved symmetry and internal reconstruction after bulbous tip correction.
Immediately After Surgery: Nostril View Photos













At Nose Lab Clinic, we perform all surgeries using the closed (endonasal) technique.

Thank you..

Postoperative precautions and possible complications after rhinoplasty – includes information on infection, bleeding, asymmetry, allergic reactions, and scarring.

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