This revision case combines bulbous-tip correction with realignment of a deviated nasal bridge after earlier nasal fracture treatment and rhinoplasty. The surgical plan included the patient’s own rib cartilage, tip refinement, nasal base reduction and osteotomy.
Case at a glance
- Concerns & goals
- Previous treatment
- Surgical plan
- Graft & material details
- Photo timing
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Hello, this is Dr. Cha-Young Kang, director of Nose Lab Clinic.
Today, I’ll introduce a patient who visited our clinic with concerns about a bulbous nose and a deviated nasal bridge. Through a meticulously planned surgery, we achieved a harmonious transformation that combined functionality and aesthetics.
Patient’s Surgical History
16–17 years ago: Nasal fracture repair (nasal bone reduction)
15 years ago: Septal cartilage graft, cartilage suturing, osteotomy
4 months ago: Silicone insertion, cartilage suturing
Patient’s Requests for Bulbous Nose Correction
Correction of a deviated nasal bridge
Reduction of a bulbous nose
Achieving a natural yet refined nose line
Surgical Plan and Procedures
Septal Extension with Autologous Rib Cartilage
Reinforced nasal tip support
Created a sharper and elevated nasal tip
Bulbous Nose Correction Techniques
Partial removal of subcutaneous soft tissue to adjust skin thickness
Cartilage repositioning and suturing for nasal definition
Nasal Base Reduction and Osteotomy
Narrowed the overall nasal width
Corrected deviation of the nasal bridge and achieved bone symmetry
Nasolabial Angle Adjustment
Enhanced side profile aesthetics
Improved the appearance of a protruding mouth
Postoperative Results After Bulbous Nose Correction
Frontal View
Smaller, refined nasal tip
Narrowed nasal base with improved symmetry
Corrected deviated nasal bridge
Side View
Lifted and refined nasal tip with a straight nasal line
Improved nasolabial angle for a sophisticated profile
Balanced nasal projection
Nostril View
Balanced nostril shape with reduced asymmetry
Straightened columella with corrected deviation
Harmonized nostril size and shape
Specialist Insights on Bulbous Nose Correction
Correcting a bulbous nose requires more than reducing its size. It must harmonize with the entire face while preserving structural stability.
In this case, autologous rib cartilage was used for reinforcement, ensuring long-term durability. By strengthening the nasal tip and adjusting the nasolabial angle, we achieved a natural, elegant, and stable result.
Soft tissue condition, cartilage, and skin thickness were key considerations in planning. The patient’s prior surgeries required meticulous strategy to avoid complications and deliver predictable results.
Closing Remarks
This successful case highlights the importance of structural integrity and tailored approaches in bulbous nose correction. The patient’s transformation shows that careful planning and holistic execution can achieve long-lasting, natural results.
At Nose Lab Clinic, we strive to deliver customized solutions that respect individuality and address both aesthetic and functional concerns.
Thank you for reading.
This is Dr. Cha-Young Kang from Nose Lab Clinic.
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