Closed Rhinoplasty Korea – Bulbous Nose Correction with Donated Rib Cartilage

Dr. Chayoung Kang
2024년 1월 14일
2분 분량

최종 수정일: 2025년 10월 20일

Preoperative Analysis – Bulbous Nose Correction and Nasal Asymmetry in Closed Rhinoplasty Korea

This patient visited my clinic for bulbous nose correction to refine a wide nasal tip and a flat, curved bridge.

During the preoperative consultation, I identified that her nasolabial angle was smaller than 90 degrees, which made her mouth appear slightly protruding.

The goal was to correct this by adjusting the nasolabial angle to approximately 95 degrees, repositioning the columella downward, and designing the nasal bridge to start naturally around the pupil line.

Preoperative design consultation photo – side view showing the planned correction of bulbous and wide nose in Closed Rhinoplasty Korea. — Preoperative design consultation photos: side view

From the frontal view, the nose appeared slightly wide relative to the intercanthal distance.

To correct this proportion and improve nasal symmetry, I planned nasal base reduction and lateral osteotomy to correct the wide and curved nasal bones.

The patient also had congenital nostril asymmetry, with the left nostril slightly larger and outward.

Therefore, I planned to reposition the alar cartilage and reduce the nasal base to achieve more balanced nostril symmetry.

Preoperative design consultation photo – frontal view showing nasal asymmetry and planned bulbous nose correction in Closed Rhinoplasty Korea. — Preoperative design consultation photos: Frontal view

Preoperative design consultation photo – nostril view showing asymmetry and planned columella correction in Closed Rhinoplasty Korea. — Preoperative design consultation photos: Nostril view

Surgical Findings – Donated Rib Cartilage Use in Closed Rhinoplasty Korea

The patient also reported mild nasal obstruction, and CT and nasal endoscopy revealed a left-sided septal deviation.

Accordingly, septoplasty and rhinitis surgery were performed simultaneously.

Intraoperatively, the septal cartilage was found to be very thin and small, insufficient for nasal tip reconstruction.

Therefore, I used donated rib cartilage combined with the patient’s septal cartilage for a more stable nasal tip framework.

The internal airway was significantly widened, and the operation proceeded smoothly without complications.

This approach allowed for both functional and aesthetic improvement, which is one of the key goals of Closed Rhinoplasty Korea.

Postoperative Results – Natural Line and Balanced Proportion After Bulbous Nose Correction

Immediately after surgery, the bulbous and wide tip was refined, and the columella descended naturally.

The nasolabial angle was corrected to approximately 95 degrees, creating a soft and balanced contour.

By aligning the implant’s starting point with the pupil line, the overall nasal bridge achieved a more natural height and smooth transition from the forehead to the tip.

The bulbous tip and wide nasal base were significantly improved.

Even the nostril asymmetry—which was congenital—was corrected effectively, creating a natural oval shape with harmonious proportions.

Before and after surgery comparison – side view showing improved bulbous and curved nose after Closed Rhinoplasty Korea with donated rib cartilage. — Before surgery (left) / After surgery (right)

Before and after surgery comparison – 45-degree view showing natural nose contour improvement after Closed Rhinoplasty Korea using donated rib cartilage. — Before surgery (left) / After surgery (right)

Before and after surgery comparison – frontal view showing improved nasal symmetry and refined bulbous tip after Closed Rhinoplasty Korea. — Before surgery (left) / After surgery (right)

Before and after surgery comparison – nostril view showing corrected asymmetry and balanced columella after Closed Rhinoplasty Korea. — Before surgery (left) / After surgery (right)

Surgical Outcome and Long-Term Expectations

This case of bulbous nose correction in Closed Rhinoplasty Korea was performed using donated rib cartilage for structural stability.

Because the patient’s skin was relatively thick, I carefully reduced subcutaneous tissue around the tip to prevent stiffness and ensure a natural contour.

A smooth, straight, and three-dimensional nasal line was achieved, and immediate postoperative results were excellent.

If postoperative scar management is continued for six months, the result will maintain both a refined appearance and stable internal structure.

This surgery demonstrates how Closed Rhinoplasty Korea can address both bulbous and asymmetrical nose shapes effectively, achieving long-term functional and aesthetic harmony.