Why a bulbous nose, wide nasal base, and drooping tip occur together and how to create a slimmer nasal line

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient whose blunt bulbous nose and wide nasal base were refined into a defined, prominent shape.

1. Front view

• Bulbous and wide nose

• Deviated nasal bridge

• Large alae with excessive nostril show

2. Profile view

• Significantly drooping nasal tip

• Dorsal hump shape

• Low radix

• Protruding mouth findings

• Acute nasolabial angle

3. Nostrils

• Nostril asymmetry

• Compressed-looking nasal tip

• Wide nasal floor

• Defined nasal line

• Improvement of bulbous nose

• Correction of the bulbous nasal tip

• Improvement of a wide nose

1. Nasal tip improvement

• Tip projection using autologous rib cartilage

• Bulbous nose correction

• Simultaneous correction of an upturned nose

2. Structural improvement

• Correction of the deviated nasal bridge via lateral osteotomy

• Improvement of protruding mouth through nasolabial angle correction

• Securing overall balance

3. Detailed adjustments

• Nasal sill reduction

• Refining the alae to appear smaller

• Controlling the amount of nostril show

1. Front view

• Slimmer nasal line

• Correction of deviation

• Adjustment of nostril show

2. Profile view

• Repositioning of the nasal tip

• Smoothed nasal bridge line

• Improved nasolabial angle

• Alleviation of protruding mouth

3. Nostrils

• Improvement in nostril symmetry

• Nasal floor naturally brought closer together

• Balanced overall shape

This was a case that required addressing multiple concerns simultaneously, including a bulbous nose, wide nasal base, drooping tip, and nostril asymmetry. By projecting the nasal tip with autologous rib cartilage, both the bulbous shape and upturned appearance were corrected together, and lateral osteotomy straightened the deviated nasal bridge.

In particular, nasal floor reduction naturally narrowed the previously wide base, achieving the defined, prominent nasal line the patient desired. Nasolabial angle correction also improved the impression of a protruding mouth, leading to an overall harmonious result.

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

Thank you.

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