Hello, I am Dr. Peter C. Kang.
Today, I would like to share a case of a patient who achieved a natural yet refined, defined look by correcting a severe bulbous nose and a short nose.
Front, left profile, and oblique views during design consultation
Design consultation: right oblique, profile, and basal (nostril) views
📍 Initial consultation findings
Front view
Severe bulbous nose
Retracted columella
Pinched nose
Flared nasal tip
Low radix
Short nose
2. Profile view
Short nose
Low radix
Bulbous nasal tip
Upturned nose
Retracted columella
Protruding mouth findings
3. Nostrils
Nostril asymmetry
Flared nasal tip
4. Nasal obstruction
Nasal endoscopy
Deviated septum
Hypertrophic rhinitis
✨ Patient's requests
Improvement of bulbous nose
Slender, defined look
Correction of short nose
💉 Surgical procedure details
Columellar correction
Anterior repositioning of the septal cartilage
Septal extension using autologous rib cartilage
Creating a natural columellar shape
Correction of the retracted columella
2. Correcting the bulbous nose
Partial removal of soft tissue beneath the nasal tip skin
Lower lateral cartilage repositioning and suture technique
Improving tip projection
3. Shape improvement
Adding three-dimensional definition by adjusting tip projection
Elevating the low glabella
Overall balance adjustment
✅ Surgical results
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
Front view
Reduction of the bulbous appearance
Stable columellar position (slightly overcorrected to account for settling during the recovery period)
Slender, defined look
Balanced width
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
2. Profile view
Improved nasal length
Appropriate glabellar height
Refined tip shape
Natural line
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
4. Nostril view
Improved nostril symmetry
Balanced nasal tip shape
Overall harmony
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
👨⚕️ Specialist's assessment
Front, profile, and oblique views immediately after surgery on day 0 Photos taken immediately after surgery show swelling and may differ from the final result.
Nostril view on day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
This case required multi-faceted improvements for a congenital severe bulbous nose, short nose, and retracted columella. By moving the septal cartilage forward, we stabilized the position of the columella, and through careful work on the tip soft tissue and lower lateral cartilages, we achieved a natural reduction of the bulbous look. In particular, creating three-dimensional tip definition and elevating the glabella helped achieve the slender, refined impression the patient desired.
This was Dr. Peter C. Kang. Thank you.
Thank you.
#closedrhinoplasty #rhinoplasty #bulbousnoserevision #shortnosecorrection #customrhinoplasty
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.