Bulbous Nose Correction with Upturned Nose – Revision Rhinoplasty Korea

noselab
2024년 10월 17일
3분 분량

최종 수정일: 9월 29일

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

Today, I’d like to introduce a rhinoplasty case for a patient who was concerned about a bulbous and upturned nose. The patient desired a natural nasal shape, and we planned a customized surgery balancing safety and aesthetics.

Pre-Surgery Design Consultation for Bulbous Nose Correction

Patient's Requests:

A defined and slightly elevated nasal tip
A straight nasal profile (creating a natural “straight nose”)
A rounded, but not overly sharp nasal tip
Natural results without obvious signs of surgery
Use of rib cartilage if possible (though the patient preferred septal cartilage)

Pre-Surgery Design Photos: Front, Left Oblique, and Side Views

Front View:

Nostrils highly visible → upturned nose appearance
Nasal tip bulbous and elevated
Low nasal root, creating a flat profile

Side View:

Nose appeared short and upturned
Flat bridge with lack of definition

Oblique View:

Short nose appearance
Subtle dorsal hump visible

Nasal Base:

Slight nostril asymmetry
Broad nasal tip lacking definition

Pre-Surgery Design Consultation: Right Side, Oblique, and Nasal Base Photos

Surgical Procedure – Closed Rhinoplasty for Bulbous and Upturned Nose

Septal Cartilage Harvesting:A limited amount of septal cartilage was taken with some bone for stability. Septal extension graft was performed to support the structure.

Nasal Tip Correction:Septal cartilage was used to lower the upturned tip and refine the bulbous shape. Ear cartilage was avoided to reduce invasiveness.

Dorsal Hump Correction and Augmentation:Irregularities were smoothed. A silicone implant was inserted to enhance the bridge, creating a more refined and balanced profile.

Nostril and Nasal Shape Refinement:The bulbous nasal tip was slimmed, asymmetry of nostrils corrected, and the dorsal line refined into a smooth contour.

All procedures were performed using a closed (endonasal) approach, leaving no external scars.

Before and After Results of Bulbous Nose Correction

Frontal View:

Upturned nasal tip naturally lowered
Bulbous tip refined into a sophisticated shape
Low glabella enhanced for better facial balance

Side profile view before surgery (left) after surgery (right)

Side Profile View:

Upturned tip corrected, facial balance improved
Short appearance corrected with better proportion
Smooth line from glabella to tip created

Oblique View:

Improved nasal length and balance
Subtle hump corrected for smooth contour
Natural, straight dorsal line achieved

Nostril base view before and after rhinoplasty for bulbous tip and upturned nose correction. Left shows pre-surgery, right shows post-surgery results — Nostrils before surgery (left) after surgery (right)

Nostril View:

Nostril asymmetry improved
Broad tip refined into a natural contour

Final Evaluation

This case demonstrates how bulbous nose correction and upturned tip correction can be achieved with careful planning and closed rhinoplasty. By respecting the patient’s preference to avoid rib cartilage, we maximized results using septal cartilage while ensuring safety.

Key highlights:

Natural refinement of a bulbous nasal tip
Correction of upturned tip without external scarring
Improved symmetry and proportion of the nose
Safe design avoiding overly ambitious changes

Photos taken immediately after surgery, frontal view, 45-angle view, and side profile.

Immediate post-surgery nostril view after closed rhinoplasty for bulbous and upturned nose correction. Nostril symmetry and nasal base improvement are visible. — Photo of the nostrils

Closing Remarks

When planning rhinoplasty, especially primary cases, realistic consultation and safe design are critical to avoid revision. At Nose Lab Clinic, we provide personalized closed rhinoplasty that balances aesthetics and function.

With the right surgical plan, even complex cases such as bulbous and upturned noses can be corrected naturally.

This has been Dr. Cha-Young Kang, Nose Lab Clinic.

Thank you.