Why the nasal bridge looks low and the tip looks bulbous: how to correct them alongside a retracted columella

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who visited our clinic concerned about a low nasal bridge and a bulbous nasal tip.

• No prior history of rhinoplasty

• Desire to raise the low nasal bridge

• Improvement of bulbous nose

• Desire for a natural nasal line

1. Height correction of the nasal bridge and tip using autologous rib cartilage

• Elevated both the low nasal bridge and the nasal tip

• Secured a stable, natural height using autologous rib cartilage

2. Improvement of the bulbous nasal tip

• Refined the bulbous shape of the nasal tip

• Created a natural nasal tip shape

3. Improvement of the retracted columella

• Retracted columella naturally lowered

• Formed a balanced columellar line from both the front and profile views

4. Correction of nasolabial angle

• Lowered the columella while naturally correcting the nasolabial angle

• Refined profile silhouette achieved

5. Septal reconstruction

• Septal reinforcement using autologous rib cartilage

• Secured long-term stability of the nasal tip support structure

Front view changes:

• Previously low nasal bridge naturally elevated

• The previously bulbous nasal tip was refined

• The bulbous appearance resolved into a clean nasal line

Profile view changes:

• Natural height achieved for both the nasal bridge and tip

• The retracted columella was naturally lowered, improving the nasolabial angle

• A smooth and refined profile silhouette

Nostril view changes:

• Reduced nostril show by correcting the retracted columella

• Overall facial harmony achieved through nasal tip correction

A low nasal bridge and a bulbous nasal tip are common concerns for many patients. In this particular case, simultaneously addressing the bulbous tip and the retracted columella was especially important.

When the columella is retracted, the nose can appear short and the tip can look bulbous. Naturally lowering the columella while correcting the nasolabial angle creates a noticeable difference in the overall balance of the nose.

Autologous rib cartilage was chosen to stably elevate both the nasal bridge and the nasal tip while securing long-term durability. Using autologous tissue offers the advantage of minimizing foreign body reactions and maintaining a natural feel.

I hope this case is helpful to those with similar concerns. This has been Dr. Peter C. Kang, Medical Director. Thank you.

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