Bulbous and Wide Nose Revision Using Self-Rib Cartilage

Dr. Chayoung Kang
2024년 3월 12일
2분 분량

최종 수정일: 2025년 10월 14일

Hello, this is Dr. Chayoung Kang, Director of Noselab Clinic, specializing in closed revision rhinoplasty in Korea.

Today, I will introduce a case of bulbous and wide nose revision combined with nostril asymmetry correction, performed using self-rib cartilage.

Preoperative Design and Assessment for Bulbous Nose Revision

The patient visited our clinic with a blunt and deviated nose that appeared asymmetrical.

The nasal skin was thick, and the previous silicone implant was bent to the right side.

In addition, excessive scar tissue in the right nose tip made the deviation more visible.

The columella had thickened, narrowing the nostrils and causing noticeable asymmetry.

Surgical Plan for Bulbous Nose and Nostril Asymmetry Correction

To correct these problems, I planned the following:

Remove scar tissue around the nasal tip to refine its blunt shape.
Perform a lateral osteotomy to correct nasal bone asymmetry and realign the deviated implant.
Reconstruct the lower columella using dermal graft and cartilage transplantation to improve scarring and restore proper shape.

Through these steps, both the shape and symmetry of the nostrils were addressed while improving nasal projection and tip definition.

Bulbous Nose Tip Reconstruction Using Self-Rib Cartilage

The key focus was the bulbous tip correction:

Removal of subcutaneous soft tissue,
Relocation of alar cartilage, and
Adding a three-dimensional effect to elevate the nasal tip naturally.

Since the patient had developed thick scar tissue and damaged alar cartilage, I reconstructed and relocated the nasal tip structure.

Finally, self-rib cartilage was used to support and enhance the nasal tip projection, resulting in a sharper, slimmer, and more balanced nasal contour.

Before and after side view – bulbous nose revision using self-rib cartilage through closed rhinoplasty, showing improved nasal tip projection and nostril symmetry (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. Before the surgery (below), After surgery (above)

Before and after frontal view – bulbous nose revision using self-rib cartilage through closed rhinoplasty, showing improved nostril symmetry and refined nasal tip (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right)

Before and after nostril base view – nostril asymmetry correction and columella improvement after bulbous nose revision using self-rib cartilage (Noselab Clinic)

Photos were taken immediately after the surgery with the consent of the patient. . Before the surgery (left), After surgery (right)

General Overview and Postoperative Results

This revision surgery successfully corrected the bulbous nose, nostril asymmetry, and columella scarring.

Immediately after surgery, the nasal bridge appeared centered, and the tip projection improved naturally while maintaining harmony with the facial structure.

Noselab Plastic Surgery Clinic by Dr. Chayoung Kang