Bulbous Nose and Bulbous Tip Correction through Columella Lengthening and Closed Rhinoplasty

Surgical Background and Patient Concerns (bulbous nose correction)

This patient presented with a bulbous nose tip, short columella, and uneven nostrils. The rounded nasal tip and asymmetrical nostrils made the nose appear wide and heavy. The goal was to achieve a refined nasal shape through bulbous nose correction with columella lengthening and nostril balancing using a closed rhinoplasty approach.

Surgical Plan and Approach (columella lengthening and nostril balancing)

The bulbous nose correction was performed through a closed rhinoplasty approach, minimizing visible scars. The procedure included partial debulking of the nasal tip’s soft tissue, reshaping of the lower lateral cartilages, and extending the columella using autologous cartilage. The nostril asymmetry was balanced through fine adjustment of the nasal base.

This approach adheres to the American Society of Plastic Surgeons standards for precision and natural outcomes.

Postoperative Results and Improvements (nasal refinement and symmetry)

After the bulbous nose correction, the nose appeared slimmer, more defined, and symmetrical. The elongated columella improved nasal projection, and nostril asymmetry was resolved. The results demonstrate how closed rhinoplasty can achieve refinement and harmony without external scars.

Bulbous nose correction with columella lengthening and nostril asymmetry balancing through closed rhinoplasty.

Doctor’s Commentary (closed rhinoplasty for bulbous tip correction)

For patients with bulbous tips and asymmetric nostrils, closed rhinoplasty provides refined correction while preserving nasal support. Controlled cartilage reshaping and precise tissue tension management are key for achieving natural and lasting results.

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“NoseLab Plastic Surgery is a rhinoplasty-focused clinic in Gangnam, specializing in closed rhinoplasty and autologous rib cartilage revision.”

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