Anatomy and correction methods for wide and bulbous noses

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case of a patient who visited us concerned about a wide, blunt nose and a bulbous tip.

This was a meaningful case that went beyond simply refining the nose shape to transform the patient's overall facial impression.

• Wide and blunt nose

• Nasal obstruction

• Protruding mouth

1. Front view

• Flared nasal tip

• Poorly defined junction between the alae and nasal tip

• Deviated nose

2. Profile view

• Low radix

• Protruding mouth

• Irregularity due to a minor dorsal hump

3. Nostrils

• Nostril asymmetry

• Flat columella

• Flared nasal tip

Nasal obstruction testing confirmed leftward deviation of the septal cartilage and bilateral inferior turbinate hypertrophy, leading to a diagnosis of a deviated septum and hypertrophic rhinitis.

1. Functional improvement

• Septoplasty

• Radiofrequency submucosal resection of the inferior turbinate

2. Structural correction

• Correction of the deviated nasal bridge via lateral osteotomy

• Nasal bridge augmentation using a silicone implant

• Septal extension using autologous rib cartilage

3. Nasal tip improvement

• Partial excision of subcutaneous tissue to reduce thickness

• Repositioning and suturing of lower lateral cartilage

• Lowering the columella with autologous rib cartilage

1. Frontal changes

• The previously wide nasal tip was refined into a sleeker shape

• The previously undefined boundary between the alae and nasal tip became clear

• The previously crooked nose was straightened

• The overall facial impression transformed into a refined look

2. Profile changes

• The low glabella was naturally elevated

• The appearance of a protruding mouth was improved, softening the profile silhouette

• Irregularities from the dorsal hump were smoothly corrected

• A natural nasolabial angle was created, achieving a feminine, well-balanced aesthetic

3. Nostril improvement

• The asymmetric nostrils were corrected into a balanced shape

• The flat columella was naturally brought downward

• The wide nasal tip was brought inward for a refined appearance

4. Overall improvement

• Significant improvement in overall facial balance

• Enhanced facial dimension with the formation of a natural nasal line

• A noticeably softer impression due to the improved appearance of a protruding mouth

• Transformation toward a feminine and sophisticated image

• High functional satisfaction with the simultaneous resolution of nasal obstruction

Rhinoplasty is not simply a surgery to make the nose alone look pretty. As seen in this case, improving the shape of the nose has a major impact on the balance and harmony of the entire face.

In particular, improving the appearance of the protruding mouth played a decisive role in changing the overall facial image. The facial three-dimensionality was restored and the feminine image was accentuated, resulting in very high satisfaction for the patient.

Moving forward, I will continue to do my best to provide customized rhinoplasty that considers the harmony and balance of the entire face, rather than just simple reshaping of the nose.

I hope this case helps those who share similar concerns.

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

Thank you.

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