Case Study: Bulbous Nose Correction and Wide Nasal Bridge – Functional and Aesthetic Rhinoplasty in Korea

noselab
2024년 11월 23일
2분 분량

최종 수정일: 8월 26일

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

Today, I’m sharing a case of a patient who came to us troubled by a wide, bulbous nose (commonly referred to as a "round nose"). Through comprehensive bulbous nose correction and functional rhinoplasty, we achieved not only a refined nasal structure but also a harmonized overall facial appearance.e.

Key Concerns Before Bulbous Nose Correction

Wide, bulbous nasal tip
Nasal obstruction
Prominent protruding upper lip (convex profile)

Design consultation photos: frontal, right oblique, and side view before bulbous nose correction surgery — Design Consultation: Frontal View, Right Oblique Side View, and Side View Photos

Preoperative Analysis

Front View

Wide nasal tip
Undefined boundary between nasal tip and alar cartilage
Slightly deviated nose

Side View

Low nasal bridge
Protruding upper lip (convex profile)
Subtle dorsal hump creating irregular contours

Nasal Base View

Asymmetrical nostrils
Flattened columella
Widely spread nasal tip

Functional Assessment

Diagnostic tests revealed left-sided septal deviation and enlarged inferior turbinates, leading to septal deviation and hypertrophic rhinitis.

Design consultation photos: left oblique, side, and nostril view before bulbous nose correction surgery — Design Consultation: Left Oblique Side View, Side View, and Nostril View Photos

Surgical Plan for Bulbous Nose Correction

Functional Corrections

Septoplasty to correct deviated septum
Radiofrequency turbinate reduction to improve airflow and resolve hypertrophic rhinitis

Structural Realignment

Lateral osteotomy to narrow the nasal bridge
Augmentation rhinoplasty with silicone implant for a smooth bridge
Septal extension using autologous rib cartilage to stabilize and lengthen the nose

Tip Refinement for Bulbous Nose Correction

Partial removal of excess soft tissue to reduce bulk
Repositioning and suturing alar cartilage for definition
Columella augmentation with rib cartilage grafts to improve nasolabial angle

Results After Bulbous Nose Correction

Frontal view before (left) and immediately after (right) bulbous nose correction surgery — Before (Left) / Immediately After (Right)

Front View

Refined, narrower nasal tip
Clearer definition between tip and alar cartilages
Straighter nasal bridge

Side View

Enhanced dorsal height with implant augmentation
Smoothed dorsal hump for natural contour
Improved nasolabial angle with a softer silhouette

Oblique view before (left) and immediately after (right) bulbous nose correction surgery — Before (Left) / Immediately After (Right)

Nasal Base View

Balanced, symmetrical nostrils
Subtle columella projection
Harmonized alar cartilage alignment

Overall Outcomes

Enhanced facial balance and symmetry
Improved breathing function with resolution of obstruction
Boosted patient confidence with refined and natural results

Final Thoughts on Bulbous Nose Correction

Immediately after bulbous nose correction surgery: frontal, oblique, and side view photos — Immediately After Surgery: Frontal, Oblique Side, and Side Views

Immediately after bulbous nose correction surgery: nostril view photo — Immediately After Surgery: Nostril Photos

Rhinoplasty is not just about reshaping the nose; it’s about restoring harmony to the entire face. This case shows how combining functional improvements with bulbous nose correction and bridge refinement can transform a patient’s appearance.

Key Takeaways: