Even among patients who visited with a bulbous nose, the areas that appeared wide differed. In some cases, a patient whose nasal tip looked round and spread from the front also had columellar tilt and nostril asymmetry, while in others, both the nasal tip and bridge appeared wide along with a drooping tip.
Therefore, rather than showing a blunt tip in isolation, this collection is organized so you can examine bridge width, tip position, and nostril shape together. In one original article, the surgical plan addresses a spread and drooping tip, a shifted implant, and septal deviation separately. Even within results that appear slimmer overall, the specific areas addressed can vary.
View before-and-after cases ↓Comprehensive rhinoplasty guide
A case where a short, upturned nasal tip and a drooping columella in an unoperated nose were corrected through septal extension. A strut was built using donor rib cartilage and septal cartilage, accompanied by columellar elevation and silicone implant placement.
Postoperative record
This is a case of septal damage, a deviated nasal bridge, a bulbous nose, and nasal obstruction following double jaw surgery and two prior rhinoplasties. Autologous rib cartilage septal reconstruction, cartilage repositioning, lateral osteotomy, and functional nasal surgery were performed.
Preoperative condition · Postoperative record
Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.
Preoperative condition
This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.
Preoperative condition · Postoperative record
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Preoperative condition · Postoperative record
A revision rhinoplasty case where the septum was depleted due to excessive cartilage use in prior surgeries. The septum was reconstructed using autologous rib cartilage, a cartilage fragment on the bridge was removed, and silicone implant replacement was combined with osteotomy.
Postoperative record
A high, deviated silicone implant was replaced to lower the radix, and septal extension was performed using donor rib cartilage. Partial soft tissue resection, cartilage tie, and rhinitis surgery addressed the bulbous tip and nasal obstruction.
Preoperative condition · Postoperative record
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Preoperative condition · Postoperative record
To correct septal cartilage loss from 3 prior surgeries, a short nose appearance, and a bulbous tip, the septum was reconstructed using autologous rib cartilage and the radix was lowered.
Preoperative condition · Postoperative record
Previously injected nasal filler was removed, the protruding dorsal hump was rasped, and lateral osteotomies were performed. The blunt nasal tip was elevated using autologous rib cartilage, and both the nasolabial angle and septum were corrected.
Preoperative condition
Following three prior procedures, a deviated nose caused by septal damage and a missing right lower lateral cartilage was restored through autologous rib cartilage structural reconstruction, silicone implant replacement, nasolabial angle correction, and rhinitis surgery.
Preoperative condition · Postoperative record
A bulbous, upturned nasal tip, the appearance of a protruding mouth, and nasal obstruction were addressed by removing columellar filler, reinforcing the nasal tip with autologous rib cartilage, placing a customized silicone implant, adjusting the nasolabial angle, and correcting a deviated septum.
Preoperative condition · Postoperative record
A blunt, pug-like nose, retracted columella, and wide nasal bridge were transformed into a slim, three-dimensional profile using autologous rib cartilage tip plasty, columellar lowering, lateral osteotomy, and cartilage reduction with suturing.
Preoperative condition · Postoperative record
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Preoperative condition · Postoperative record
Persistent bulbous tip and upturned nasal tip after surgery with ear cartilage were addressed with autologous rib cartilage septal extension, partial scar tissue excision, cartilage repositioning, and a silicone implant.
Preoperative condition · Postoperative record
A dorsal hump and drooping tip were smoothly refined through a closed approach using autologous rib cartilage tip plasty, hump reduction, lateral osteotomy, and nasolabial angle correction.
Preoperative condition · Postoperative record
A bulbous, spread-out nasal tip and deviated septum were refined with autologous rib cartilage septal extension, nasolabial angle correction, a silicone implant on the nasal dorsum, and functional nasal surgery.
Preoperative condition · Postoperative record
For a patient who wanted primary rhinoplasty without artificial implants, lateral osteotomy was performed to straighten the deviated nasal bones, and donor rib cartilage and septal cartilage were used to reinforce the bridge and reshape the nasal tip.
Preoperative condition
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In the original articles, there are cases where tip spreading and bridge width are explained separately. In one patient, both the tip and bridge appeared wide, but a shifted nasal tip and nostril asymmetry were also documented. First, distinguish from the front photos whether the area that appears wide is the tip, the bridge, or both.
One revision rhinoplasty record notes that along with a round, spread tip, the columella was tilted to the left and nostril asymmetry was present. The round appearance of the tip alone did not fully capture the patient's concerns. Reviewing the nostril photos and preoperative findings in that article shows how structural width and central axis issues can overlap.
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