Deviated Nose and Bulbous Nose Tip Correction through Columella Lengthening and Closed Rhinoplasty

Surgical Background and Patient Concerns (deviated nose correction)

This patient presented with a deviated nasal bridge, bulbous nose tip, and an uneven columella. The deviation caused nasal imbalance and asymmetrical nostrils. The surgical goal was to correct the deviated nose, refine the bulbous tip, and lengthen the columella for a straighter, more defined nasal line while maintaining natural harmony.

Surgical Plan and Approach (columella lengthening and bulbous tip correction)

The deviated nose correction was performed using a closed rhinoplasty approach.

The nasal septum and lower lateral cartilages were repositioned to align the nasal axis. Bulbous tip correction was achieved by refining cartilage thickness and reshaping the nasal tip structure. The columella was lengthened with autologous cartilage to improve projection and nostril symmetry.

This technique aligns with the American Society of Plastic Surgeons standards for safe and precise nasal correction.

Postoperative Results and Improvements (symmetry and nasal proportion)

After surgery, the nose appeared straighter and better aligned with the facial midline. The bulbous nose tip became more refined, and nostril symmetry was restored. The lengthened columella provided balance and improved nasal projection. This case demonstrates that closed rhinoplasty can effectively correct both structural deviation and aesthetic irregularities.

Doctor’s Commentary (closed rhinoplasty for deviated and bulbous nose)

In cases combining a deviated nose correction with bulbous tip deformity, precision in cartilage realignment and balanced tension are essential. The closed approach allows detailed work without visible scars. Long-term results depend on stable cartilage fixation and proportional reconstruction.

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“NoseLab Plastic Surgery is a rhinoplasty-focused clinic in Gangnam, specializing in closed rhinoplasty and autologous rib cartilage revision.”

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