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Case Study: Transformation with Natural and Elegant Rhinoplasty for Bulbous Nose and Deviated Nasal Bridge_Rhinoplasty Korea

noselab

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


Today, I’ll introduce a patient who visited our clinic with concerns about a bulbous and deviated nose. Through a meticulously planned surgery, we achieved a harmonious transformation that combined functionality and aesthetics.


1. Surgical History


  • 16–17 years ago: Nasal fracture repair (nasal bone reduction)

  • 15 years ago: Septal cartilage graft, cartilage suturing, osteotomy

  • 4 months ago: Silicone insertion, cartilage suturing

Design Consultation: Frontal View, Left Side View, and Oblique Side View


2. Patient’s Requests


  • Correction of a deviated nasal bridge

  • Reduction of a bulbous nose

  • Achieving a natural yet refined nose line

Design Consultation: Right Oblique Side View, Side View, and Nostril View Photos


3. Surgical Plan and Procedures


a. Septal Extension with Autologous Rib Cartilage

  • Reinforce nasal tip support

  • Create a sharper and elevated nasal tip

b. Bulbous Nose Correction

  • Partial removal of subcutaneous soft tissue to adjust skin thickness

  • Cartilage repositioning and suturing to create definition

c. Nasal Base Reduction

  • Narrow the overall nasal width

  • Achieve balanced proportions

d. Lateral Osteotomy

  • Correct deviation of the nasal bridge

  • Ensure symmetry of nasal bones

e. Nasolabial Angle Adjustment

  • Enhance side profile aesthetics

  • Improve the appearance of a protruding mouth

Before (Left) / Immediately After (Right)


4. Postoperative Results


a. Frontal View

Before (Left) / Immediately After (Right)


  • A more defined and smaller nasal tip

  • Narrowed nasal base with improved symmetry

  • Correction of the deviated nasal bridge


b. Side View

Before (Left) / Immediately After (Right)


  • Lifted and refined nasal tip with a soft, straight nasal line

  • Improved nasolabial angle creating a sophisticated profile

  • Enhanced projection and balance of the nose


c. Nostril View

Before (Left) / Immediately After (Right)


  • Balanced nostril shape with reduced asymmetry

  • Straightened columella with corrected deviation

  • Harmonized nostril size and shape


5. Specialist Insight

Immediately After Surgery: Frontal, Side, and Oblique Side Views











Immediately After Surgery: Nostril View


Correcting a bulbous nose requires more than simply reducing its size. It is crucial to ensure that the nose harmonizes with the entire face, balancing its structure with the patient’s unique facial features.


In this case, we used autologous rib cartilage to provide structural stability and long-term durability. By reinforcing the nasal tip and adjusting the nasolabial angle, we achieved a natural and sophisticated result.


For bulbous nose correction, factors such as the condition of soft tissues, cartilage, and skin thickness play a pivotal role in determining the approach. Additionally, the patient’s surgical history and tissue condition necessitate precise planning to prevent complications or deformities in the future.


6. Closing Remarks


This successful case highlights the importance of structural integrity and tailored aesthetic solutions in rhinoplasty. The patient’s transformation demonstrates that careful planning and a holistic approach can deliver natural, elegant, and long-lasting results.


At Nose Lab Clinic, we strive to provide customized surgeries that respect each patient’s individuality and address their unique concerns. If you have similar concerns, we’re here to help you achieve your aesthetic and functional goals.


Thank you for reading. This is Dr. Cha-Young Kang from Nose Lab Clinic.



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