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Wide and Bulbous Nose Rhinoplasty_Rhinoplasty Korea

noselab

최종 수정일: 2024년 10월 7일


Hello, this is Dr. Chayoung Kang, Director of Noselab Rhinoplasty Clinic. Today we will introduce the case of a patient who was concerned about her wide nose. This patient said she wanted to improve the width of her nose, and decided to get a bulbous nose rhinoplasty.


Preoperative Design Consultation
























Frontal view


  • Wide and bulbous-looking nose overall.

  • Broad and big nose tip.

  • Wide nasal dorsum.































Lateral view


  • Slightly droopy nose tip (especially when smiling it looks more droopy)

  • Smalll nasolabial angle that makes the mouth protrude.































45-degree angle view


  • Wide nose appearance.

  • The nose tip definitely looks droopy.











Nostril photo


  • Wide nostrils

  • Unclear alar cartilage shape.


Surgical content


The surgery is performed entirely through closed rhinoplasty approach, as follows:


a) Bulbous nose correction:


  • Partial removal of soft tissue: reduction of the thickness of the skin by partially removing subcutaneous soft tissue from both lateral sides of the nose tip.

  • Tying the cartilage: improving the appearance of the nose by relocating and tying up the alar cartilage.

  • Nasal tip plasty: giving a more three-dimensional appearance to the nose tip by increasing its height.


b) Outer osteotomy of the nasal bone:


  • Performing an outer osteotomy to correct the wide nasal bone.


c) Nasolabial angle correction surgery:


  • Correction of the nasolabial angle to give an improvement effect to the protruding mouth.


d) Nasal valve reconstruction:


  • Performing a nasal valve reconstruction after it was suspected through a nasal congestion examination the possibility of medial valvular stenosis.


Additional surgical contents:

Reinforcement of the thin and small alar cartilage using the septal cartilage.

Every procedure was performed through the closed rhinoplasty approach, without leaving any external scars.


Before and After surgery photos

Frontal view before surgery (left), After surgery (right)
Frontal view before surgery (left), After surgery (right)
  • The wide nose became more balanced.

  • The width of the nose tip was adjusted to look more narrow and three-dimensional.

  • Overall improvement of the width of the nasal dorsum.

Side profile before surgery (left), After surgery (right)
Side profile before surgery (left), After surgery (right)

Balance improvement by elevating the droopy nose tip.

Correction and improvement of the nasolabial angle.

An overall smoother and naturally-looking nose shape.

45-degree angle before surgery (left), After surgery (right)
45-degree angle before surgery (left), After surgery (right)
  • The countour of the nose looks more refined.

  • The three-dimensionality of the nose tip is harmonious now so the balance improved too

Nostrils before surgery (left), After surgery (right)
Nostrils before surgery (left), After surgery (right)
  • Adjusted and reduced the size of the wide nostrils.

  • The shape of the alar cartilage became more distinct, giving a more beautiful appearance.

  • The symmetry became more balanced.


After surgery table photos

Photos taken immediately after surgery, frontal view, side profile and 45-angle view.
Photos taken immediately after surgery, frontal view, side profile and 45-angle view.
Nostril photo after surgery.
Nostril photo after surgery.













Overview


This case is a successful example of a patient with a wide nose, also known as a bulbous nose. Bulbous nose rhinoplasty is not simply about reducing the size of the nose, but it is also important to create a natural and beautiful nose by considering the balance of the entire face. In this surgery, a combination of techniques such as partial removal of subcutaneous tissue, cartilage tying, and nose tip surgery was used to correct the wide nose. In particular, when the cartilage of the alar alar is thin and small, it is difficult to achieve good results by simply reducing its size. Therefore, by reinforcing the cartilage using the septum cartilage, we were able to secure structural stability of the nose while also creating a beautiful shape.


Correcting a wide nasal bone through outer nasal bone osteotomy and improving the harmony between the nose and lips through nasolabial angle correction also played a major role in improving the overall balance of the face.


In addition, in this case, functional improvement was achieved along with cosmetic improvement. By performing nasal valve reconstruction surgery to correct the medial nasal valve stenosis discovered in the nasal congestion examination, the patient’s respiratory function also improved.


All procedures were performed through the closed rhinoplasty method, which minimizes scarring and ensures a short recovery period.


I hope this blog post is helpful to those who are concerned about a wide or flat nose, and are considering bulbous nose rhinoplasty.


Noselab Rhinoplasty Clinic

Dr. Chayoung Kang.


 
 
 

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