Closed Rhinoplasty Korea for Bulbous Tip and Upturned Nose

(Revision Rhinoplasty Case)

A bulbous nasal tip combined with an upturned nose can result from weak structural support and previous nasal tip surgery.

In this revision case, septal extension using rib cartilage, tip refinement, and structural reconstruction were performed to create a more refined nasal tip and a natural nasal angle using a closed rhinoplasty approach.

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

This case involves a revision rhinoplasty patient presenting with a bulbous nasal tip and an upturned nasal appearance following previous nasal tip surgery.

The patient had undergone ear cartilage-based tip surgery and alar reduction approximately three years prior. However, the nasal tip remained wide and lacked definition, and the nose appeared over-rotated from the lateral view.

The patient sought refinement of the nasal tip, correction of the upturned appearance, and a natural feminine nasal contour. Structural reconstruction in this case was performed using closed rhinoplasty korea, focusing on restoring tip support and controlling tip rotation.

If you are experiencing similar concerns such as a bulbous nasal tip, upturned nose, or unsatisfactory results after previous rhinoplasty, a structural evaluation is important.

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Surgical Background – Closed Rhinoplasty Korea

Revision rhinoplasty involving a bulbous tip and upturned nose typically results from weak structural support, scar tissue formation, and inadequate control of tip rotation in previous surgery.

For this reason, closed rhinoplasty korea was selected to allow precise internal structural reconstruction and controlled tip refinement without external incisions. This method allows accurate control of tip projection, rotation, and nasal length while preserving soft tissue.

Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Structural Problems Identified

Preoperative structural analysis revealed:

• Bulbous nasal tip

• Weak nasal tip support

• Over-rotated (upturned) nasal tip

• Scar tissue from previous surgery

• Insufficient tip definition

• Need for controlled tip projection and rotation

These structural issues required reconstruction of tip support and refinement of nasal tip shape.

Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan – Structural Tip Reconstruction and Refinement

Septal Extension Graft Using Rib Cartilage

• Septal extension graft using autologous rib cartilage

• Reinforcement and stabilization of nasal tip support

• Precise control of tip projection, rotation, and length

Bulbous Tip Refinement

• Removal of fibrotic scar tissue from previous surgery

• Repositioning and suturing of alar cartilages

• Controlled narrowing and refinement of the nasal tip

Dorsal Augmentation

• Nasal bridge augmentation using a custom-carved silicone implant

• Creation of a smooth straight-to-slightly-curved dorsal line

• Formation of a feminine dorsal profile

Surgical Results

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

Frontal View

• Narrower and more refined nasal tip

• Improved tip definition

• Balanced nasal symmetry

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

Lateral View

• Correction of the upturned nasal tip

• Improved nasal tip projection and rotation

• Smooth dorsal contour

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

Oblique (45°) View

• Natural nasal contour

• Harmonized bridge-to-tip relationship

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

Overall Outcome

• Stable nasal tip support

• Refined and feminine nasal contour

• Natural and balanced overall nasal appearance

Surgeon’s Commentary – Revision Rhinoplasty for Bulbous Tip and Upturned Nose

Revision rhinoplasty requires a detailed understanding of structural deficiencies and scar tissue resulting from prior procedures.

In cases where ear cartilage was previously used, nasal tip support may weaken over time, leading to recurrent bulbosity or over-rotation of the tip.

In this case, autologous rib cartilage was used to reconstruct the nasal tip support through a septal extension graft. This provided strong and stable support, allowing precise control of tip position and long-term maintenance of the result.

Bulbous tip correction was achieved through structural repositioning of the alar cartilages combined with removal of scar tissue.

The nasal bridge was augmented using a custom-carved implant to create a smooth and feminine dorsal line that harmonizes with the refined nasal tip.

A structural approach is essential in revision rhinoplasty to achieve both stability and natural aesthetics.

Revision rhinoplasty should focus on rebuilding structural support rather than simple reshaping.

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Frequently Asked Questions (FAQ)

Q1 . Why does the nasal tip remain bulbous after previous surgery?

Weak structural support or scar tissue can prevent proper refinement.

Q2 . Why is rib cartilage preferred in revision rhinoplasty?

It provides strong and stable support for long-term results.

Q3 . Can an upturned nasal tip be corrected permanently?

Yes. With proper structural reconstruction, stable and natural positioning can be achieved.

🎥 YouTube Reference

If you’re curious about Dr. Cha-Young Kang’s closed rhinoplasty approach, click to watch the video.