Bulbous Nose Correction and Dragon Nose Refinement: Achieving Natural Transformation

noselab
2024년 10월 29일
2분 분량

최종 수정일: 9월 29일

Patient’s Surgical History and Goals

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

In this case, we corrected a bulbous nose and dragon nose contour combined with columella retraction through a closed rhinoplasty technique, aiming for natural and balanced results.

Pre-surgery design consultation – combined frontal, left side, and oblique side views showing bulbous nasal tip, low nasion, and columella retraction before Bulbous Nose Correction with closed rhinoplasty. — Pre-Surgery Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Surgical History:

3 years ago: Nasal filler injections (1-year and 5-year fillers, multiple sessions)
8 months ago: Philtrum reduction surgery

Goals:

Correct bulbous nasal tip and dragon-like nose shape
Address columella retraction

Pre-surgery design consultation – combined nostril, right side, and oblique side views showing nostril asymmetry, low nasion, and columella retraction before Bulbous Nose Correction with closed rhinoplasty. — Pre-Surgery Design Consultation: Nostril View, Right Side View, and Oblique Side View Photos

Pre-Surgical Analysis

Frontal View: Bulbous and wide nasal tip, dragon-like contour, low nasion, mild deviation of bridge
Side View: Low nasion, retracted columella, protrusive lip profile
Nostril View: Nostril asymmetry

Surgical Plan for Bulbous Nose Correction

To achieve the desired transformation, we created a precise surgical plan.

Bulbous Nose Correction:
- Septal extension graft for support and definition
- Removal of excess subcutaneous tissue (with caution to prevent complications)
- Repositioning and suturing of alar cartilage to refine the tip
Dragon Nose Refinement:
- Repositioning alar cartilage to soften the dragon-like contour
- Adding septal cartilage to alar structure to lower nostrils and create harmony
Tip Elevation and Bridge Correction:
- Controlled septal extension graft using septal + donor rib cartilage for tip elevation
- Removal of residual filler
- Insertion of silicone implant to achieve a straight and balanced bridge line

Post-Surgical Results

Before Surgery (Left) / Immediately After Surgery (Right)

Before and after comparison – oblique side view showing bulbous nose and dragon nose contour before surgery, with immediate results after Bulbous Nose Correction using closed rhinoplasty, achieving natural balance and refined shape. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and after comparison – frontal view of bulbous nasal tip and asymmetry before surgery, with immediate results after Bulbous Nose Correction through closed rhinoplasty, creating a more defined tip and balanced nasal contour. — Before Surgery (Left) / Immediately After Surgery (Right)

Before and after comparison – nostril view showing asymmetry and columella retraction before surgery, with immediate results after Bulbous Nose Correction using closed rhinoplasty, achieving improved nostril symmetry and natural proportion. — Before Surgery (Left) / Immediately After Surgery (Right)

Nasal Contour: Refined bulbous and deviated nose, resulting in natural balance
Columella: Lowered columella improved the nasolabial angle and overall profile
Bridge Proportion: Raised nasion improved facial proportions
Nostril Symmetry: Asymmetry corrected, achieving uniform and natural appearance

Photos: Before Surgery vs. Immediately After Surgery (Frontal, Side, Oblique, Nostril Views)

Key Insights in Bulbous Nose Correction

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

Photo immediately after surgery – nostril view showing results of Bulbous Nose Correction with closed rhinoplasty, achieving improved nostril symmetry and correction of columella retraction. — Photos Immediately After Surgery: Nostril View

The goal is not to make the nose overly thin but to create natural balance
Tip projection and height are crucial to three-dimensional definition
Repositioning and suturing cartilage refine the shape without compromising natural appeal
Over-removal of subcutaneous tissue can lead to necrosis or scarring → careful surgical precision is vital

Correcting bulbous nose and dragon nose features requires an individualized approach. At Nose Lab Clinic, we analyze each patient’s unique anatomy to design the safest and most effective closed rhinoplasty plan.

Thank you,

Dr. Cha-Young Kang

Director of Nose Lab Clinic

NoseLab performs all surgeries using the closed rhinoplasty technique.