Why a nose looks bulbous or pug-like, and how to refine both the nasal tip cartilage and nasal bones together

Hello, I am Dr. Peter C. Kang.

Today, I would like to share the case of a patient who visited our clinic with concerns about a bulbous nose and a blunt nasal tip.

This case was a primary rhinoplasty patient who had never previously undergone any nasal surgery.

The patient's primary concerns were as follows:

• Improvement of a bulbous nose and blunt nasal tip

• Correction of a pug-like appearance caused by wide nasal bones

• A slimmer, more defined nasal line compared to before

• Preference for a feminine straight bridge line

1. Nasal tip plasty using autologous rib cartilage

• Creating a well-defined and natural nasal tip height

• Achieving a slender, feminine line

2. Correction of the columellar line

• Retracted columella naturally lowered

• Natural bulbous nose improvement through tip shaping

3. Lateral osteotomy

• Correction of a wide and crooked-looking nasal bridge

• Securing a sleek line by narrowing the nasal width

4. Lower lateral cartilage reduction and cartilage suturing

• Refined nasal tip expression by reducing cartilage size

• Maintaining a stable shape through cartilage suturing

Front view changes:

• The previously blunt nasal tip became well-projected and slender

• The wide nasal base was narrowed, creating a refined impression

• The pug-like look was resolved, resulting in a feminine line

Profile view changes:

• A natural straight bridge line providing a distinct yet well-balanced profile

• The retracted columella was naturally lowered, improving the tip silhouette

• A three-dimensional design bringing a notable transformation

Nostril view changes:

• The blunt nasal tip was tidied, yielding a clean nostril shape

• A natural contour with balanced symmetry between both sides

Correcting a bulbous nose is not simply about raising the nasal tip; the key lies in enhancing the three-dimensional harmony of the entire nose. Especially in bulbous noses, a design that restores dimension can produce a dramatic improvement.

In this type of case, autologous rib cartilage was used to secure a stable structural support, while correcting the retracted columellar line naturally improved the overall shape of the nasal tip. By combining lateral osteotomy and cartilage suturing, both the wide nasal bridge and the blunt nasal tip could be corrected simultaneously.

I hope this case is helpful to those who are concerned about a bulbous or pug-like nose.

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

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