Bulbous, drooping nasal tip and an obtuse nasolabial angle: causes and correction methods

Hello, I am Dr. Peter C. Kang.

Today, I would like to share a case where a patient presenting with a heavy, crowded facial profile due to a bulbous, drooping nasal tip and a protruding mouth achieved a natural and refined transformation.

Past history:

• 7 to 8 years ago: nasal filler

• 7 years ago: ear cartilage + silicone implant + septal cartilage

Main concerns:

• Bulbous, drooping nasal tip

• Asymmetric nasal bridge

• Heavy profile line due to a protruding mouth

• Nasal obstruction caused by a deviated septum and rhinitis

• A natural and well-defined nose

• Correction of the bulbous tip

• Correction of asymmetry

• Functional improvement: relief of nasal obstruction

1. Correcting the long nasal tip using autologous rib cartilage

A long and rounded nasal tip can create an aged appearance. Using autologous rib cartilage, we elevated the tip and refined its definition. Adjusting it to proper facial proportions created harmony with the rest of the face.

2. Improving the protruding mouth through nasolabial angle correction

A protruding mouth can make the side profile appear flat and heavy. By defining and sharpening the nasolabial angle, we restored balance and created a distinct, refined profile line.

3. Replacing the nasal bridge with a new silicone implant

The existing implant was removed, and a new one was carved precisely to match the underlying bone structure. This corrected the asymmetry and established a clean, natural bridge line.

4. Treatment of deviated septum and rhinitis

The nasal septum was deviated, and rhinitis was causing blockage. Through septoplasty and inferior turbinate reduction, the nasal airway was opened. Breathing is restored immediately, contributing to better sleep quality.

• Refining the bulbous tip into a slender, well-supported shape using autologous rib cartilage

• Improving the look of the protruding mouth with nasolabial angle correction, creating a dimensional profile

• Straightening the asymmetric bridge with a new implant

• Relieving nasal obstruction by treating the deviated septum and rhinitis

• Achieving an overall natural and refined appearance

This case required correcting a bulbous, drooping tip in a natural yet defined manner, while simultaneously addressing the appearance of a protruding mouth and an asymmetric bridge.

Balance of nasal tip length and shape:

When the nasal tip droops, the face can look elongated and older. Adjusting it to a suitable length and elevating it produces a more youthful, refreshed appearance. Refining a rounded tip to be smaller and more defined provides a delicate and sophisticated contour. Autologous rib cartilage provides sufficient strength to reliably establish the desired shape.

Nasolabial angle and a protruding mouth:

The nasolabial angle is the angle where the nose meets the upper lip. If this angle is obtuse or poorly defined, it can accentuate a protruding mouth and create a heavy look. Refining this angle enhances facial depth and delivers a sleek side profile.

Correcting an asymmetric nasal bridge:

An asymmetric bridge can give an awkward impression. Carving a new implant to match the individual bone structure helps achieve a straight and natural bridge line.

Simultaneous functional and cosmetic improvement:

Septal deviation and rhinitis are primary causes of nasal obstruction. Treating them together restores smooth breathing and improves daily comfort. Combining functional correction with aesthetic rhinoplasty addresses all concerns within a single recovery period.

We remain dedicated to delivering natural and sophisticated outcomes tailored to each patient's facial proportions and individual anatomy. This was Dr. Peter C. Kang, Medical Director of NOSELAB. Thank you.

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