Bulbous Nose Tip and Notching Nose Correction through Columella Lengthening and Nostril Balancing

Surgical Background and Patient Concerns (bulbous nose tip correction)

This case focuses on bulbous nose tip correction performed through a closed rhinoplasty approach. The patient presented with a bulbous nasal tip, notching deformity along the alar rim, and noticeable nostril asymmetry. The short columella caused a rounded and heavy nasal tip. The surgical goal was to refine the bulbous nose tip, lengthen the columella, and balance the nostrils to achieve a more natural and symmetrical nasal base.

Surgical Plan and Approach (columella lengthening and nostril balancing)

The bulbous nose tip correction was performed using a closed rhinoplasty technique to avoid visible scars. The procedure included precise reshaping of the lower lateral cartilages and partial soft-tissue reduction to refine the bulbous tip. The columella was lengthened using autologous cartilage, and the nostril margins were adjusted to correct asymmetry.

This surgical approach follows the standards defined by the American Society of Plastic Surgeons, ensuring precision, minimal downtime, and natural postoperative results.

Postoperative Results and Improvements (nostril asymmetry correction)

After bulbous nose tip correction, the nasal tip appeared slimmer, with improved definition and balanced nostril shape. The previous notching deformity was successfully corrected, and the extended columella provided a natural line and proportion from all angles. The overall result demonstrates how closed rhinoplasty can effectively restore nasal harmony and definition without external incisions.

Bulbous nose tip correction through closed rhinoplasty with columella lengthening and nostril asymmetry balancing.

Doctor’s Commentary (closed rhinoplasty for bulbous tip correction)

For patients requiring bulbous nose tip correction, a closed rhinoplasty approach allows precise modification of cartilage and soft tissue while preserving structural stability. The key is maintaining balanced lower lateral cartilages with sufficient columellar support. This case highlights how subtle refinements can create stable, natural, and symmetrical nasal outcomes.

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“NoseLab Plastic Surgery is a rhinoplasty-focused clinic in Gangnam, specializing in closed rhinoplasty and autologous rib cartilage revision.”

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