Closed Rhinoplasty Korea for Slim and Refined Bulbous Nose Correction

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This case study explains a closed rhinoplasty procedure performed to refine a bulbous nasal tip while preserving natural facial harmony and avoiding external scars.

In this patient, repeated filler injections had caused loss of tip definition and a widened appearance, which was corrected through structural cartilage reinforcement and controlled soft tissue reduction using a closed approach.

Author: Dr. Cha-Young Kang, Chief Director, NoseLab Clinic

Published: January 14, 2026

Hello, this is Dr. Cha-Young Kang, Chief Director of NoseLab Clinic.

This case involves a patient seeking refinement of a bulbous nasal tip rather than simple size reduction, with the goal of achieving a slimmer and more balanced nasal contour that naturally harmonizes with her facial features.

Patient Condition and Preoperative Assessment

The patient presented with a rounded, wide nasal tip lacking definition due to excess soft tissue and weakened internal support following non-surgical procedures.

Relevant history

Two sessions of nasal filler injections performed three years prior

Preoperative views before closed rhinoplasty Korea for bulbous nose correction showing frontal and left side profiles — Preoperative design consultation images — frontal, left oblique, and left profile views

Surgical Background – Closed Rhinoplasty Korea for Bulbous Nose

This surgery was planned to correct tip volume and shape without creating external scars, using a closed rhinoplasty korea approach that allows precise manipulation of internal nasal structures.

Preoperative views before closed rhinoplasty Korea for bulbous nose correction showing right side and nostril views — Preoperative design consultation images — right profile, right oblique, and nostril views

Surgical Plan – Structural Tip Refinement Without External Incisions

The procedure focused on reshaping the nasal tip through internal structural reinforcement rather than aggressive reduction.

Key surgical steps

Removal of previously injected filler material
Reinforcement of nasal tip support using autologous rib cartilage
Controlled reduction of excess soft tissue
Sculpting and narrowing of the nasal tip to improve definition

This method allowed refinement without creating an artificial or overly sharp appearance.

Surgical Results – Structural Refinement and Facial Balance

Postoperative evaluation demonstrated improved tip definition and overall nasal harmony.

Frontal view before and immediately after closed rhinoplasty Korea for bulbous nose correction — Before Surgery (Left) / Immediately After Surgery (Right)

Frontal view: Rounded, blunt tip refined into a slimmer contour

Before Surgery (Left) / Immediately After Surgery (Right)

Side profile: Improved projection with a smooth, natural line

Nostril view before and immediately after closed rhinoplasty Korea for bulbous nose correction — Before Surgery (Left) / Immediately After Surgery (Right)

Nostril view: Enhanced structure and symmetry of the nasal base

Oblique view before and immediately after closed rhinoplasty Korea for bulbous nose correction — Before Surgery (Left) / Immediately After Surgery (Right)

The nose appears smaller, neater, and proportionate to the patient’s facial features.

Educational Perspective – Why the Closed Approach Matters

Bulbous nose correction requires sculpting volume and structure rather than simply lifting the tip, particularly in patients with thick skin or abundant soft tissue.

By using a closed approach, internal structures can be precisely reshaped while preserving soft tissue integrity and eliminating visible scars. Structural cartilage support ensures that the refined shape remains stable over time.

Final Thoughts

This case demonstrates that effective bulbous nose correction depends on internal structural control rather than surface-level reduction.

Through careful planning and cartilage-based reinforcement, a closed rhinoplasty approach can achieve durable refinement while maintaining natural balance and function.

FAQ

Q1. What is bulbous nose correction in closed rhinoplasty?

Bulbous nose correction in closed rhinoplasty is a surgical technique that refines a wide or rounded nasal tip by reshaping cartilage and soft tissue through internal incisions without external scars.

Q2. Why is surgery recommended after filler for a bulbous nose?

Fillers can temporarily add volume but often worsen tip width and definition over time, making surgical removal and structural correction necessary for stable and natural results.

Q3. How does closed rhinoplasty differ from open rhinoplasty for bulbous noses?

Closed rhinoplasty reshapes the nasal tip internally without a columellar incision, allowing precise contouring while preserving soft tissue and avoiding visible scars.

Q4. Is rib cartilage necessary for bulbous nose correction?

Rib cartilage is used when strong and durable internal support is required, particularly in cases with weakened tip structure or previous filler-related changes.