Front, left profile, and oblique views during design consultation
Hello, I am Dr. Peter C. Kang.
Today, I will introduce the case of a patient who underwent reconstruction for bulbous nose correction and relief of nasal obstruction.
📍 Initial consultation findings
1. Front view
Wide nose
Low nasal bridge
Overall lack of three-dimensional definition
2. Profile view
Bulbous nasal tip
Protruding mouth findings
Low nasal bridge height
3. Nostrils
Asymmetry between the left and right nostrils
Broad, spread-out nasal tip
Lack of overall balance
Design consultation right profile, oblique view, and basal nostril view
✨ Patient's requests
Improvement of nasal obstruction
Defined nasal line
Bulbous nose correction
💉 Surgical procedure details
1. Bulbous nose correction - Step one
Partial removal of subcutaneous tissue to adjust nasal tip skin thickness
Creation of a natural nasal tip shape
Reduction of nasal tip width
2. Bulbous nose correction - Step two
Repositioning of the lower lateral cartilage
Meticulous cartilage suturing
Stabilization of the overall structure
3. Bulbous nose correction - Step three
Adding three-dimensional definition by adjusting nasal tip height
Achieving a natural slimness
The most crucial step in bulbous nose correction
✅ Surgical results
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
1. Front view
Improvement of previously indistinct nasal lines
Improvement of the overall wide, spread-out appearance
Improved 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 tip shape
Improved appearance of protruding mouth
Harmonious height
Before surgery / Day 0 immediately after surgery Photos taken immediately after surgery show swelling and may differ from the final result.
3. Nostrils
Improved nostril symmetry
Slimmer nasal tip
Balanced overall structure
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.
For this type of nose, the most crucial part was bulbous nose correction. Three steps were carried out to correct the bulbous tip: first, partial removal of subcutaneous tissue to reduce nasal tip skin thickness; second, repositioning of the lower lateral cartilage and cartilage suturing; and third, adjusting the nasal tip height to impart three-dimensional definition.
The third step is particularly vital, as the core of bulbous nose correction ultimately lies in raising the nasal tip naturally so that it appears slender. Through this comprehensive approach, we were able to achieve both the glamorous nasal contour desired by the patient and functional improvement.
This was Dr. Peter C. Kang. Thank you.
Thank you.
#closedrhinoplasty #rhinoplasty #bulbousnosecorrection #nasalobstructionrelief #customrhinoplasty
Limitations and risks
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.