Bulbous Nose Surgery Korea with Filler Removal
- Dr. Chayoung Kang
- 2024년 8월 21일
- 6분 분량
This case reviews bulbous nose surgery Korea in a patient with a blunt and wide nasal tip, broad nasal appearance, mild nasal deviation, nostril asymmetry, bumpy nasal bridge, suspected residual filler in the glabella area, high bridge starting point, protrusive mouth impression, nasal hump appearance, rightward nasal tip deviation, tilted columella, and a history of nasal filler and reduction injection treatment. Surgery focused on filler removal, lateral osteotomy, septal extension grafting with donor rib cartilage, silicone implant bridge design, nasolabial angle correction, nasal tip asymmetry correction, columella alignment, and closed rhinoplasty structural refinement.
Author: Dr. Cha-Young Kang
Clinic: NoseLab Clinic
Published: 2024
Last Updated: 2026
Introduction
Hello, this is Dr. Cha-Young Kang of NoseLab Clinic.
This case involves bulbous nose surgery Korea in a patient who was concerned about a blunt, wide, and bulbous nasal appearance.
The patient had received nasal filler approximately 12 years earlier. After reduction injection treatment, the patient developed symptoms suggesting skin depression or a small defect-like change on the nose.
The patient wanted to refine the blunt bulbous nasal tip, improve the wide nasal appearance, and create a straighter nasal dorsum without an overly curved line.
Because the patient had a history of filler and injection treatment, the surgical plan needed to consider residual filler, tissue changes, bridge irregularity, nasal deviation, nostril asymmetry, and nasal tip support.
The surgery was performed using a closed rhinoplasty / endonasal approach.
Surgical History Before Bulbous Nose Surgery Korea
The patient had a history of nonsurgical nasal treatment before surgery.
12 years ago: Nasal filler injection
Afterward: Nose reduction injection treatment
After injection treatment: Symptoms suggesting skin depression or a small defect-like change on the nasal skin
Because previous filler or injection treatment can affect nasal soft tissue, tissue condition and residual material were evaluated before surgery.
Patient Goals for Bulbous Nose Surgery Korea
The patient’s main goals were:
To refine the blunt and bulbous nasal tip
To reduce the broad nasal appearance
To create a straighter nasal dorsum without an overly curved bridge line
To improve nostril asymmetry
To address bridge irregularity related to suspected residual filler
To improve the overall nasal balance without an overly sharp appearance
The surgical plan was designed to improve nasal width, bridge contour, tip support, and lower nasal symmetry together.
Preoperative Analysis Before Bulbous Nose Surgery Korea
Preoperative design consultation photos were reviewed from the frontal, side, oblique, and nostril views.
Frontal View: Blunt Wide Nose and Mild Deviation
From the frontal view, the overall nose appeared blunt and wide.
Mild nasal deviation was observed, and nostril asymmetry was noticeable.
Because the wide nasal appearance involved both the nasal bone and nasal tip, bridge narrowing and tip refinement were planned together.
Side View: Bumpy Bridge and High Starting Point
From the side profile, the nasal bridge appeared bumpy, and residual filler was suspected around the glabella area.
The nasal tip appeared blunt, and the bridge starting point appeared high.
A protrusive mouth impression was also considered when evaluating the nasolabial angle and overall profile balance.
Oblique View: Nasal Hump and Bulbous Tip
From the oblique view, a nasal hump appearance was visible.
The blunt nasal tip appeared prominent, contributing to a heavier nasal impression.
Bridge contour, tip definition, and nasal projection were evaluated together.
Nostril View: Rightward Tip Deviation and Columella Tilt
From the nostril view, the nasal tip appeared deviated toward the right side.
Nostril asymmetry was visible, and the columella appeared tilted to the right.
Because nostril shape is affected by septal support, tip direction, columella position, alar cartilage balance, and healing response, lower nasal framework correction was planned carefully.
Surgical Plan for Bulbous Nose Surgery Korea
1. Lateral Osteotomy for Wide Nasal Bone
Lateral osteotomy was performed to narrow the wide nasal bone.
This step was planned to reduce the broad nasal appearance and improve frontal nasal balance.
Osteotomy was also considered together with nasal deviation correction.
2. Septal Extension Graft with Donor Rib Cartilage
The patient’s septal cartilage was limited, so donor rib cartilage was used for septal extension grafting.
This helped support the nasal tip and improve tip direction.
Septal extension grafting was planned to provide structural support for tip refinement and lower nasal balance.
3. Silicone Implant Bridge Design
A silicone implant was used to improve the bridge line.
The bridge was designed to create a straighter dorsal contour based on the patient’s nasal bone structure, skin thickness, and desired line.
The goal was to improve the bumpy bridge and create a smoother transition without excessive height.
4. Nasolabial Angle Correction
The nasolabial angle was adjusted to improve the relationship between the nasal tip and upper lip.
This was planned to help improve the protrusive mouth impression and overall side profile balance.
5. Removal of Existing Filler
Residual filler or filler-related material on the nasal bridge was removed where identifiable.
This was included to improve uneven bridge contour and reduce filler-related irregularity.
Because filler can remain in tissue or become difficult to distinguish from surrounding soft tissue, removal should be performed carefully.
6. Nasal Tip Asymmetry and Columella Correction
The rightward deviation of the nasal tip and bridge was addressed through structural correction.
The tilted columella was adjusted as part of lower nasal framework correction.
The goal was to improve nasal tip direction, nostril balance, and lower nasal symmetry within the patient’s anatomical limits.
Surgical Results After Bulbous Nose Surgery Korea
Frontal View: Nasal Width and Deviation
From the frontal view, the blunt and wide nasal appearance appeared more refined after lateral osteotomy and tip support.
The slightly deviated nasal appearance appeared more balanced after structural correction.
Nostril asymmetry appeared improved within the patient’s anatomical limits.
Side View: Bumpy Bridge and Profile Balance
From the side profile, the bumpy bridge appeared smoother after filler removal and bridge line correction.
The blunt nasal tip appeared more defined after septal extension grafting and lower nasal support.
The high starting point and protrusive mouth impression appeared more balanced after dorsal contour and nasolabial angle adjustment.
Oblique View: Hump Appearance and Tip Shape
From the oblique view, the nasal hump appearance appeared softer after bridge contour correction.
The blunt nasal tip appeared more refined after donor rib cartilage support and tip asymmetry correction.
Nostril View: Tip Direction and Nostril Asymmetry
From the nostril view, the rightward tilt of the nasal tip and columella appeared improved after lower nasal framework correction.
The nostril asymmetry appeared more balanced after tip direction correction and columella adjustment.
Because nostril shape can change during healing, final nostril balance should be evaluated over time.
Surgeon’s Commentary on Bulbous Nose Surgery Korea
This case involved a bulbous and blunt nose with multiple contributing factors, including previous filler, reduction injection treatment, wide nasal bone, bridge irregularity, nostril asymmetry, and rightward lower nasal deviation.
In bulbous nose surgery, it is important to determine whether the broad appearance comes from the nasal bone, alar cartilage, soft tissue thickness, filler residue, or a combination of these factors.
For this patient, lateral osteotomy was used to address the wide nasal bone, while septal extension grafting with donor rib cartilage was used to support the nasal tip.
Because the patient’s septal cartilage was limited, donor rib cartilage was selected as a structural graft material.
Residual filler or filler-related material on the bridge was removed where identifiable, and a silicone implant was used to create a straighter bridge line.
Nasolabial angle correction was also performed to improve the relationship between the nasal tip and upper lip.
This case shows that bulbous nose surgery Korea may require combined correction of wide nasal bone, blunt nasal tip, filler residue, bridge irregularity, nostril asymmetry, columella tilt, and nasolabial angle balance.
All surgical planning should be individualized based on filler history, injection history, nasal bone width, septal cartilage availability, nasal tip structure, skin condition, nostril shape, and healing response.
FAQ
What is bulbous nose surgery Korea?
Bulbous nose surgery Korea refers to rhinoplasty that refines a wide or blunt nasal tip while considering nasal bone width, cartilage support, soft tissue thickness, filler history, and overall nasal balance.
Can old nose filler affect rhinoplasty?
Old filler may affect rhinoplasty if it remains in the tissue, contributes to contour irregularity, or changes the soft tissue plane. Filler removal may be considered when residual material affects surgical planning.
Why is donor rib cartilage used in bulbous nose surgery?
Donor rib cartilage may be used when septal cartilage is limited and additional structural support is needed for nasal tip correction or septal extension grafting.
Can a wide nasal bone and bulbous tip be corrected together?
A wide nasal bone and bulbous tip may be corrected together when the surgical plan includes osteotomy, tip support, cartilage correction, and soft tissue evaluation.
Can nostril asymmetry improve after bulbous nose surgery?
Nostril asymmetry may improve when nasal tip direction, columella position, septal support, and lower nasal framework balance are addressed. The degree of improvement depends on anatomy and healing response.
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