Correction methods for bulbous and crooked noses through structural analysis

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who visited our clinic with concerns about a wide, bulbous nose.

• 16 to 17 years ago: Nasal bone fracture reduction

• 15 years ago: Septal cartilage graft, cartilage suturing, osteotomy

• 4 months ago: Silicone implant insertion, cartilage suturing

• Correction of deviated nose

• Correction of a wide bulbous nose

• Natural yet distinct nasal line

1. Septal extension using autologous rib cartilage

• Reinforcement of nasal tip support

• Well-defined nasal tip projection

2. Structural approach to bulbous nose improvement

• Partial removal of subcutaneous soft tissue to adjust skin thickness

• Cartilage repositioning and cartilage suturing

3. Nasal sill reduction

• Improvement in overall balance

• Reduced wide nasal base width

4. Lateral osteotomy

• Correction of the deviated nasal bridge

• Restoring nasal bone symmetry

5. Nasolabial angle correction

• Improvement of the profile silhouette

• Improvement in protruding mouth appearance

1. Front view changes

• Refined the blunt nasal tip

• Brought together the wide, spread nasal tip

• Achieved symmetry by correcting the deviated segment

2. Profile changes

• Improvement of the drooping and bulbous nasal tip

• Natural yet distinct straight bridge line

• Refined profile line through an improved nasolabial angle

• Improvement of protruding mouth

3. Nostril changes

• Improvement of bulbous nasal tip

• Improvement of nostril asymmetry

• Improvement of left-tilted columella

Bulbous nose correction is not simply about reducing size; harmony with the overall face is essential. In particular, excessive correction without adequate underlying support can lead to future deformation or functional problems.

In this type of case, a structural approach utilizing autologous rib cartilage secured structural stability while achieving an aesthetically pleasing result. By reinforcing nasal tip support and appropriately adjusting the nasolabial angle, a distinct yet natural line was created.

In bulbous nose correction, it is crucial to comprehensively evaluate soft tissue, cartilage condition, skin thickness, and overall facial proportions. Tailoring surgical techniques based on the patient's prior surgical history and tissue condition directly correlates with surgical success.

I will continue to provide customized surgery that closely reflects each patient's individuality and requests through this meticulous approach.

I hope this case helps those who share similar concerns.

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

Thank you.

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