Bulbous Nose Correction – Achieving Elegance with Rib Cartilage

[Nose Lab Clinic]

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

Today, I’m sharing a case of bulbous nose correction using rib cartilage, where the patient wished to refine a wide nasal tip and achieve a more elegant nasal shape through closed rhinoplasty.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

1. Initial Assessment of Bulbous Nose and Structural Issues

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos

Frontal View:

• Wide, bulbous nasal tip

• Deviated nasal bridge

• Large alar base and excessive nostril show

Side Profile:

• Drooping nasal tip

• Mild dorsal hump

• Low radix and convex profile with small nasolabial angle

Nostril View:

• Nostril asymmetry

• Compressed nasal tip

• Wide nasal base

2. Patient’s Goals for Bulbous Nose Correction

✔ Refine nasal definition

✔ Correct bulbous tip and slim down the nasal width

✔ Create facial harmony through balanced projection

3. Bulbous Nose Correction Plan Using Rib Cartilage Graft

Nasal Tip Refinement:

• Elevation and shaping with rib cartilage

• Tip suturing to correct bulbosity

• Simultaneous upturned nose correction

Bridge & Angle Adjustment:

• Lateral osteotomy to straighten deviation

• Nasolabial angle refinement for balanced projection

Alar Base & Nostril Correction:

• Alar base reduction for a slimmer look

• Nostril symmetry refinement

4. Post-Surgical Results of Bulbous Nose Correction

Before (Left) / Immediately After (Right)

Frontal: Slim, defined nasal lines, optimized nostril show

Before (Left) / Immediately After (Right)

Side: Elevated nasal tip, smoother bridge, balanced profile

Before (Left) / Immediately After (Right)

Nostril: Improved symmetry and natural base width

Before (Left) / Immediately After (Right)

5. Expert Insights on Bulbous Nose Correction

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

Immediately After Surgery: Nostril View Photos

This case required precise handling of a bulbous nasal tip, asymmetry, and wide base. Rib cartilage was essential for natural projection without implants.

Key Points:

• Tip refinement without over-sharpening

• Lateral osteotomy for symmetry

• Alar base reduction for harmony

This procedure was performed using a closed rhinoplasty approach. At Nose Lab Clinic, all surgeries are performed using the closed method.

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