Bulbous Nose Correction & Short Nose Refinement – Creating a Defined, Elegant Nasal Tip

[Nose Lab Clinic]

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

Today, I’m sharing the story of a patient who underwent bulbous nose correction and short nose refinement to achieve a more elegant, defined look with enhanced facial harmony.

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

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

1. Initial Evaluation

a. Frontal View

• Severe bulbous nose

• Retracted columella (columellar retraction)

• Pinched nasal tip

• Wide, flattened tip

• Low radix (starting point between the eyebrows)

• Short nasal length

b. Side Profile

• Short nose structure

• Low radix and nasal dorsum

• Blunt, under-projected tip

• Upturned nose

• Retracted columella

• Mild mouth protrusion (relative to the nose)

c. Nostril & Functional Issues

Nasal Endoscopy Photos

• Nostril asymmetry

• Overly flared nasal tip

• Deviated septum

• Chronic nasal congestion due to hypertrophic turbinates

2. Patient’s Requests

• Bulbous nose refinement

• Sharper, more delicate nasal tip

• Correction of short nose appearance

• Balanced nasal proportions

3. Surgical Approach

a. Columella Reconstruction

• Advancement of the septal cartilage to stabilize columella position

• Rib cartilage graft (autologous) for structural support and elongation

• Restoration of columella retraction for a more harmonized nasal projection

b. Bulbous Nose Correction

• Removal of excess soft tissue beneath nasal skin

• Repositioning and suturing of alar cartilage (tip-plasty)

• Nasal tip projection enhancement

c. Shape Refinement

• Adjusting nasal tip height for better definition

• Radix augmentation for a natural transition from the forehead to the nose

• Overall balance improvement

4. Surgical Outcomes

Before (Left) / Immediately After (Right)

a. Frontal View

• Significant refinement of the bulbous tip

• Columella stabilization (overcorrected slightly to allow for post-surgical settling)

• Sleek and elegant nasal contours

• Balanced width and proportions

Before (Left) / Immediately After (Right)

b. Side Profile

• Corrected nasal length (short nose improved)

• Appropriately elevated radix

• Sophisticated tip shape

• Smooth, natural curve

Before (Left) / Immediately After (Right)

c. Nostril & Symmetry

• Improved nostril balance

• More defined tip structure

• Harmonized overall nasal shape

Before (Left) / Immediately After (Right)

5. Expert Insights

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

Immediately After Surgery: Nostril View Photos

This case required comprehensive corrections, as the patient had both a bulbous nose and a short nose with columellar retraction. By advancing the septal cartilage and utilizing rib cartilage grafts, we achieved stability and enhanced projection. Additionally, alar cartilage restructuring and soft tissue reduction contributed to a more refined, elegant look.

Most importantly, the enhanced tip projection and balanced proportions gave the patient a more sophisticated and graceful appearance.

This is Dr. Cha-Young Kang, Chief Surgeon at Nose Lab Clinic.

Thank you.

https://blog.naver.com/cykang/223769474924