Refinement of Bulbous Nose and Thread Removal โ One-Year Post-Hiko Filler Revision Surgery
- noselab
- 4์ 22์ผ
- 2๋ถ ๋ถ๋
[Nose Lab Clinic]
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Today, Iโd like to share the case of a patient who previously underwent Hiko nose thread lift and filler augmentation, but returned after a year seeking a more natural, refined nasal lineย through corrective surgery. This was a case of bulbous tip refinement, thread removal, and subtle augmentation, all tailored to her aesthetic goals.
Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
๐ Treatment History
1 year ago:ย Non-surgical rhinoplasty using dermal fillerย and Hiko nose thread lift
๐ Initial Presentation
1. Frontal View
Bulbous nasal tip
Diffuse, rounded (bulbous)ย nasal shape
Low nasal bridge height
Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos
2. Side Profile
Mild projection but lacking definition
Poor nasolabial angle
Columellaย needed repositioning
3. Functional Findings
Deviated nasal septum
Chronic rhinitis symptoms
Nasal obstruction
Nasal Endoscopy Photos
โจ Patient Goals
Refine the bulbous tip
Avoid an overly sharp or artificial appearance
Subtle height increase (approx. 1โ2 mm)
Achieve a natural, balanced nasal contour
๐ Surgical Approach
1. Foreign Material Removal
Complete removal of Hiko threads
Nasal Tip Filler Photo
Removal of remaining filler and any residual foreign material
Evaluation of existing structural condition
Removed Hiko Threads
2. Aesthetic Refinement
Used donor rib cartilageย and remaining septal cartilageย to augment the nasal tip
Performed bulbous tip refinementย with a balanced approach, ensuring the tip remained natural and soft, not overly defined
Repositioned the columellaย for structural and visual improvement
3. Functional Correction
Septoplastyย to address deviated septum
Submucosal turbinate reductionย using radiofrequency ablation
Improved airflow and nasal breathing
โ Postoperative Results
Before (Left) / Immediately After (Right)
1. Frontal View
Noticeably refined, less bulbous tip
Slimmer and more elegant nasal line
Natural enhancementย in nasal height
Before (Left) / Immediately After (Right)
2. Side Profile
Improved tip projectionย within patientโs desired 1โ2 mm range
Better nasolabial angle
Lowered columella created a more harmonious profile
Before (Left) / Immediately After (Right)
3. Functional Outcomes
Significant reduction in nasal obstruction
More balanced internal nasal structure
Improved breathing and rhinitis symptoms
Before (Left) / Immediately After (Right)
๐จโโ๏ธ Expert Commentary
Immediately After Surgery: Frontal, Side, and Oblique Side View Photos
Immediately After Surgery: Nostril View Photos
This case is a prime example of how even minor non-surgical procedures like Hiko threads and fillersย can sometimes result in long-term dissatisfactionโespecially when expectations arenโt met or the aesthetic lacks harmony.
During consultation, I emphasized that overly conservative bulbous nose correction may leave patients underwhelmed, especially when subtle refinement doesnโt create noticeable change. With this in mind, we pursued a moderate correctionย that preserved natural contours while delivering visible enhancement.
Using donor rib cartilageย and existing septal cartilage, I was able to rebuild and reshape the tip with precision. The patientโs goal of a modest 1โ2 mm increaseย was achieved without compromising softness or femininity. Additionally, the lowered columella and improved nasolabial angle helped reduce the appearance of a protruding mouth.
From both a functional and aesthetic perspective, this surgery achieved long-lasting, balanced resultsโwithout the use of silicone or aggressive reshaping.
This has been Dr. Cha-Young Kang, Director of Nose Lab Clinic.
Thank you.
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