Why the nose looks wide and bulbous, and how to correct it with septal cartilage and ear cartilage

Hello, I am Dr. Peter C. Kang.

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

• No prior surgical history

• "I want to improve my wide nose"

• "I want to improve the asymmetry"

• "I want to elevate my bulbous nasal tip naturally"

• "I want a defined nasal tip"

Because the patient's septal cartilage was adequately sized, we combined septal cartilage and ear cartilage to achieve a natural result planned with safety in mind.

1. Use of septal cartilage

• Harvesting an adequate amount of septal cartilage

• Forming a structure to secure tip support

• Constructing a stable cartilage framework

• Securing long-term stability

2. Reinforcement with ear cartilage

• Adding ear cartilage to create a natural contour

• Delicately refining the nasal tip shape

• Creating a gentle curve

• Preserving a natural feel to the touch

3. Nasal tip reconstruction

• Elevating the bulbous tip into a defined shape

• Creating a natural tip height

• A framework that narrows the wide tip

• Achieving an elegant tip line

4. Correcting the wide nose

• Adjusting nasal width by cartilage repositioning

• Well-balanced nasal contour

• Achieving natural proportions

• Considering overall harmony

5. Asymmetry correction

• Balancing left and right symmetry

• Forming a symmetrical nasal line

• Alignment of the columellar midline

• Harmonious nostril shape

6. Natural straight bridge line

• A smooth transition from the glabella to the nasal tip

• Natural profile silhouette

• Harmonious proportions with the face

• An elegant, refined line

7. Nasolabial angle correction and functional improvement

• A natural angle on profile view

• Improved nasal breathing through septal correction

• Prioritizing long-term health

Front view changes:

• A wide, spread nose was gathered with balanced proportions

• The bulbous nasal tip has been raised into a defined shape

• Asymmetry naturally improved

• Achieving bilateral symmetry

• A refined, elegant frontal line

Profile view changes:

• Creation of a natural straight bridge line

• The nasal tip is elevated and defined

• The nasolabial angle is naturally improved

• An elegant profile silhouette

• Harmonious proportions with the face

Nostril view changes:

• Improvement of bulbous nasal tip

• The wide tip has been brought together

• Achieving bilateral symmetry

• Natural nostril shape

• Alignment of the columellar midline

Cartilage selection is a critical decision in rhinoplasty. In this case, because the septal cartilage was of sufficient size, we chose a combined approach using septal cartilage as the primary framework material and ear cartilage as a supplementary graft.

Septal cartilage is the most suitable material for creating a stable support structure for the nasal tip. By utilizing an adequately sized piece of septal cartilage, we established a strong tip framework, and by adding ear cartilage over it, we achieved a natural contour and softer feel.

The wide, bulbous tip that concerned the patient was resolved through proper cartilage repositioning and structural restructuring. Rather than simply stacking cartilage grafts, we meticulously engineered the support framework of the nasal tip to create a naturally defined result.

Particular attention was paid to improving asymmetry. By balancing the bilateral lower lateral cartilages and aligning the columellar midline, we secured harmonious symmetry on front view. The straight bridge line seen in profile was another key focus. Creating a smooth transition extending from the glabella to the nasal tip resulted in a natural yet refined profile silhouette. This approach considers balance with the entire face rather than merely raising the nose. Furthermore, through nasolabial angle correction combined with septoplasty and turbinoplasty, breathing function was also improved. This surgery achieved functional enhancement alongside aesthetic improvement.

The greatest advantage of using autologous cartilage is long-term stability. Because both septal cartilage and ear cartilage are the patient's own tissue, the risk of foreign body reactions or complications is very low, and a natural state can be maintained over time.

I will continue to provide customized surgeries that reflect each patient's individuality and requests through this meticulous approach. I hope this helps those with similar concerns.

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

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