Bulbous Tip Correction & Foreign Substance Removal โ Achieving a Natural Nasal Line
- noselab
- 12๋ถ ์
- 2๋ถ ๋ถ๋
Hello, Iโm Dr. Cha-Young Kang, Medical Director at NOSELAB Clinic.
Today, Iโd like to share the story of a patient who underwent rhinoplasty to correct a bulbous nose and remove residual substances from previous filler and thread lift procedures, resulting in a balanced and naturally contoured nose.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos
๐ Procedure History
2020: Nasal filler injection
2023: Thread lift procedure (nasal threads)
๐ Initial Assessment
Key Features
Bulbous nasal tip (typical โbulbous noseโ appearance)
Suspected residual filler and thread materials
Irregular nasal contour
Drooping nasal tip
Nostril asymmetry
โจ Patient Goals
Correction of bulbous tip
Natural yet defined nasal contour
Removal of prior filler/thread materials
Accepts a mild hump (no need for a fully straight profile)
๐ Surgical Plan
Consultation Highlights
Patient initially preferred implant-free surgery
Explained that subtle correction may not be sufficient for effective bulbous tip refinement
After thorough discussion, the patient agreed to silicone implant use for optimal structural enhancement
Structural Reconstruction
Complete removal of residual filler and threads
Cartilage grafts using septal and donated rib cartilage
Silicone implant placed for improved dorsal definition
Functional surgery for nasal obstruction (septal deviation and turbinate hypertrophy)
Aesthetic Refinement
Tip refinement for better definition
Correction of nasal tip ptosis
Improved nostril symmetry
Harmonious height and overall contour
โ Postoperative Outcomes
Frontal View
Markedly improved tip definition
Balanced and symmetrical nostrils
Overall more proportionate and refined nose
Before (Left) / Immediately After (Right)
Side View
Naturally elevated nasal bridge
Corrected nasal tip droop
Ideal height without appearing overdone
Preserved a soft, slightly curved profile
Before (Left) / Immediately After (Right)
Before (Left) / Immediately After (Right)
Nostril View
Improved nostril symmetry
Stable nasal base and support structure
Natural nostril shape and angle
Before (Left) / Immediately After (Right)
๐จโโ๏ธ Expert Commentary
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photo
This case involved a patient who had received nasal fillers in 2020 and thread lifts in 2023, resulting in a bulbous and uneven nasal shape. Initially, the patient preferred an implant-free approach, but I explained that in cases involving a naturally low and flat nasal structure, particularly with a bulbous tip, subtle corrections often fail to produce meaningful change.
Through detailed consultation, we agreed that a silicone implant would offer better projection and shape, particularly important for defining the tip and bridge in bulbous noses.
The first priority was the complete removal of foreign materials from prior procedures. We then reconstructed the nasal framework using both septal and donated rib cartilage, supported by a silicone implant. This dual approach allowed us to build a strong, stable base while also refining the nasal line.
The surgery also addressed functional issues with breathing by correcting a deviated septum and reducing turbinate hypertrophy, which are often overlooked but crucial for long-term satisfaction.
By correcting the droopy tip and nostril asymmetry, we achieved a harmonious result that aligned with the patientโs preferencesโavoiding an overly straight profile while improving overall balance and definition.
Thank you for reading.
This has been Dr. Cha-Young Kang from NOSELAB Clinic.
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