Short and Bulbous Nose Correction through Columella Lengthening and Closed Rhinoplasty for Natural Proportion

Surgical Background and Patient Concerns (short nose correction)

This case involved a patient with a short and small nose combined with a bulbous nasal tip. The upward rotation of the tip made the nose appear overly short and rounded. The surgical goal was to achieve a natural nasal proportion by performing short nose correction with columella lengthening and tip refinement.

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

A closed rhinoplasty approach was used for the short nose correction, minimizing external scars. The columella was lengthened using finely shaped autologous cartilage to restore proper nasal projection. The bulbous tip was refined by reshaping lower lateral cartilages and adjusting soft tissue thickness.

This approach follows the safety and precision standards set by the American Society of Plastic Surgeons

Postoperative Results and Improvements (nasal proportion and balance)

Following the short nose correction, the nose appeared longer, more defined, and balanced with the face. The extended columella provided smooth projection, while the refined tip improved definition. The patient achieved a natural and proportional result without visible scars.

Short nose correction with columella lengthening and bulbous nose refinement through closed rhinoplasty.

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

Short nose correction using a closed approach allows precise lengthening while maintaining nasal support. The key is to balance the columellar graft tension and refine the tip contour for stable, natural outcomes. Subtle adjustments create lasting symmetry and proportion.

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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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