Closed correction method for bulbous nose and dragon nose

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce a case of a patient with a bulbous nose, dragon nose, and retracted columella.

• 3 years ago: Nasal bridge filler 2 to 3 times (1-year type + 5-year type)

• 8 months ago: Philtrum reduction surgery

• Correction of dragon nose, bulbous nose, and retracted columella

Analysis of preoperative condition:

1. Front view: The nasal tip is blunt and wide, a dragon nose is present, the glabella is low, and the bridge appears crooked

2. Profile view: The glabella is low, the columella is retracted, and findings of a protruding mouth are visible.

3. Nostrils: Asymmetry is observed.

Surgical plan:

1. Bulbous nose correction surgery

• Septal extension graft

• Partial removal of subcutaneous tissue

• Lower lateral cartilage repositioning and suturing

2. Dragon nose correction

• Repositioning of lower lateral cartilage

• Nostril lowering: Grafting septal cartilage onto the lower lateral cartilage

3. Raising the nasal tip

• Septal extension using septal cartilage and donor rib cartilage

4. Nasal bridge correction

• Foreign material (filler) removal

• Silicone implant insertion

Analysis of results immediately after surgery (Day 0): Photos taken immediately after surgery show swelling and may differ from the final result.

1. The shape of the nose, which previously appeared blunt and crooked, has been improved

2. The columella descends naturally, correcting the nasolabial angle

3. The glabella is raised, improving the overall proportions of the nose

4. Nostril asymmetry is improved and the shape appears more natural

Key points regarding bulbous nose correction surgery:

1. The goal is not simply to make a blunt nose thin, but to make it look natural.

2. Controlling skin thickness is important, but increasing nasal tip projection to provide three-dimensional definition is even more important.

3. Cartilage suturing and cartilage repositioning help the nasal tip appear slimmer.

4. Caution is required when removing subcutaneous tissue. Excessive removal can lead to skin necrosis or scar tissue formation, which may worsen bulbous appearance; therefore, an evaluation by a specialist is essential.

Correcting a bulbous nose and dragon nose is a complex procedure requiring varied approaches depending on individual nasal anatomy. At NOSELAB, we carefully analyze each patient's condition to formulate an appropriate surgical plan. If you desire a natural and refined nasal contour, we recommend consulting with a specialist to determine the surgical technique suited to your needs.

This was Dr. Peter C. Kang. Thank you.

Thank you.

#closedrhinoplasty #closedrevisionrhinoplasty #dragonnose #bulbousnose #crookednose #rhinoplasty #nasalsurgery #septalextension #tiprhinoplasty