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Bulbous Tip Correction After Hiko Thread Lift – One-Year Revision Case

  • noselab
  • 4월 22일
  • 2분 분량

최종 수정일: 6일 전

[Nose Lab Clinic]


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


Today, I’d like to share a case of Bulbous Tip Correction in a patient who previously received non-surgical Hiko nose thread lift and dermal fillers. One year later, she returned seeking a more refined, natural-looking nose through revision surgery.


📍 Treatment History

  • 1 year ago: Non-surgical rhinoplasty with Hiko threads and filler

Frontal, left side, and oblique view of a patient before bulbous tip correction and Hiko thread removal surgery at Nose Lab Clinic.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

🔎 Patient Evaluation

Right side, oblique, and nostril views of a patient before bulbous tip correction and Hiko thread removal at Nose Lab Clinic.
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos


Frontal View

  • Bulbous, undefined nasal tip

  • Wide nasal base and low nasal bridge


Side Profile

  • Poor tip definition

  • Flat nasolabial angle

  • Protruded columella


Functional Findings

  • Deviated septum

  • Chronic nasal congestion and rhinitis

Nasal endoscopy images showing deviated septum and turbinate hypertrophy before bulbous tip correction surgery at Nose Lab Clinic.
Nasal Endoscopy Photos

✨ Patient Goals for Bulbous Tip Correction

  • Refine and slim the bulbous tip

  • Subtle height increase (1–2 mm) without artificial sharpness

  • Maintain natural contour and softness

  • Improve breathing and nasal obstruction


💉 Surgical Plan

1. Foreign Material Removal

  • Complete extraction of Hiko threads

Intraoperative photo showing removal of nasal tip filler and foreign material during bulbous tip correction surgery at Nose Lab Clinic.
Nasal Tip Filler Photo

  • Removal of residual filler and foreign substances

Removed Hiko threads after bulbous tip correction surgery at Nose Lab Clinic, showing extracted foreign material from previous non-surgical rhinoplasty.
Removed Hiko Threads

2. Bulbous Tip Correction & Aesthetic Refinement

  • Autologous rib cartilage used for tip augmentation

  • Balanced reshaping to avoid excessive projection

  • Columella repositioning for structural harmony


3. Functional Correction

  • Septoplasty to realign nasal structure

  • Submucosal turbinate reduction via RF ablation


✅ Surgical Results

Frontal view comparison before and immediately after bulbous tip correction surgery, showing refined nasal contour and removal of Hiko threads.
Before (Left) / Immediately After (Right)

Frontal View

  • Noticeably refined nasal tip

  • Slimmer bridge and elegant contour

Side profile before and immediately after bulbous tip correction surgery, highlighting improved nasal projection and refined tip definition.
Before (Left) / Immediately After (Right)

Side Profile

  • Improved projection (1–2 mm)

  • Enhanced nasolabial angle

  • Harmonized columella position

Oblique side view before and immediately after bulbous tip correction surgery, showing enhanced nasal line and improved columella position.
Before (Left) / Immediately After (Right)

Functional Outcomes

  • Improved breathing and reduced rhinitis

  • Corrected septal deviation

Nostril view before and immediately after bulbous tip correction, showing narrowed nostrils and more refined nasal shape.
Before (Left) / Immediately After (Right)

👨‍⚕️ Expert Commentary

Frontal, side, and oblique side views immediately after bulbous tip correction and Hiko thread removal, showing swelling and refined nasal contour.
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Nostril view immediately after bulbous tip correction and thread removal, showing symmetrical nostrils and internal healing status.
Immediately After Surgery: Nostril View Photos












This case demonstrates the importance of proper bulbous tip correction after minor non-surgical procedures like Hiko threads or fillers. These treatments can leave behind aesthetic imbalance and structural issues if not properly planned.


By removing all foreign materials and using autologous cartilage, we achieved soft, feminine refinement while preserving the patient’s desired natural look. Most importantly, her breathing and nasal function improved significantly.


👉 At Nose Lab, all surgeries are performed using the closed (scarless) rhinoplasty approach.

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