Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who underwent surgery to achieve a natural straight bridge line and a refined nasal tip.

Front, left profile, and oblique views during design consultation

Right profile, oblique, and nostril views during design consultation

📍 Initial consultation findings

Blunt and broad nasal tip
Bulbous nose appearance
Protruding mouth observed
No functional discomfort

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 7

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 8

✨ Patient's requests

Improvement of bulbous nasal tip
Desire to increase nasal bridge height
Natural dorsal hump line
Correction of tip definition
Preference for autologous rib cartilage

💉 Surgical procedure details

Structural improvement

Performed septal extension with autologous rib cartilage
Repositioned nasal tip cartilage
Created a soft, straight bridge line along the dorsum

2. Shape improvement

Correction of a wide tip
Improvement of protruding mouth
Natural height adjustment

3. Detailed adjustments

Established tip definition
Overall harmony
Achieved a smooth line

✅ Surgical results

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Before surgery / day 0 immediately after surgery. Photos taken immediately after surgery include swelling and may differ from the final result.

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

Front view

Refined nasal tip
Balanced width
Natural three-dimensional definition

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

2. Profile view

Refined straight bridge line
Improved protruding mouth
Harmonious nasal bridge height

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

3. Oblique view

Smooth profile line
Correction of the nasolabial angle
Improvement in the appearance of a protruding mouth

Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.

4. Nostril improvement

Improvement of asymmetry
Natural nostril shape
Improvement of wide appearance

👨⚕️ Specialist's assessment

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 17

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 18

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 19

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 20

This case was aimed purely at cosmetic improvement without any functional problems. By utilizing autologous rib cartilage, we naturally created the straight bridge line the patient desired and refined the previously blunt nasal tip.

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

Thank you.

#closedrhinoplasty #rhinoplasty #autologousribcartilage #dorsalhump #customrhinoplasty

These before-and-after photos apply only to the specific patient shown; expected results can only be determined in consultation with a doctor. The following complications may occur after any surgery. Infection: Prevented with disinfection and antibiotic injections or oral medication, but revision surgery may rarely be required. (Less than 0.5%) Bleeding: Nasal packing is placed for 1–2 days to minimize bleeding. (Occasional bleeding may occur after rhinitis surgery.) Allergic reaction Asymmetry: During consultation, we explain that improvement may not be complete, depending on facial asymmetry and the condition of the nose. Insufficient cosmetic or functional improvement Other complications, such as excessive scarring or skin necrosis, may also occur.

Why a blunt, spread nasal tip occurs, and how to create a straight bridge line with autologous rib cartilage septal extension — Photo 22

Limitations and risks

When autologous rib cartilage is used, scarring and pain may remain at the donor site on the chest, and pneumothorax (pleural injury) can occur rarely. Over time, the grafted cartilage may warp or undergo partial resorption.

When the septum is corrected at the same time, nasal obstruction may persist or recur, and in rare cases, septal perforation or changes in smell may occur.

Common potential risks include infection, bleeding, asymmetry, scarring, skin necrosis, and insufficient improvement; results vary depending on individual skin condition and previous surgical history.

Read original on Naver ↗