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Bulbous nose and blunt tip: identifying areas of widened tissue

This is page 2 of case reports on bulbous nose, bulbous tip, and distinguishing areas of spread. View surgical records and before-and-after photos for cases 19 to 36 of 208.

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Why a nose looks low and wide: surgical technique starting from the nasal tip structure — Before-and-after comparison
Before-and-after comparison

Why a nose looks low and wide: surgical technique starting from the nasal tip structure

To improve an inherently low and wide nose along with rhinitis symptoms, primary rhinoplasty was performed using donor rib cartilage for tip support, a customized silicone implant for the bridge, and septoplasty.

Preoperative condition · Postoperative record

Why the nasal bridge looks low and the tip looks bulbous: how to correct them alongside a retracted columella — Before-and-after comparison
Before-and-after comparison

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

To improve the low, bulbous nasal tip and retracted columella in a patient with no previous surgical history, autologous rib cartilage was used to reinforce the septum, elevate the nasal bridge and nasal tip, and correct the nasolabial angle.

Preoperative condition · Postoperative record

Why a dorsal hump and a crooked nose often occur together, and correction methods using osteotomy and autologous rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a dorsal hump and a crooked nose often occur together, and correction methods using osteotomy and autologous rib cartilage

For a male primary rhinoplasty patient with a bulbous, crooked nose with a dorsal hump, lateral osteotomy, cartilage tying, nasal tip plasty with autologous rib cartilage, and a customized silicone implant were performed.

Preoperative condition · Postoperative record

Why the nasal bridge looks wide and the tip looks bulbous: how osteotomy and autologous rib cartilage correction work — Before-and-after comparison
Before-and-after comparison

Why the nasal bridge looks wide and the tip looks bulbous: how osteotomy and autologous rib cartilage correction work

A case of minimally correcting a deviated, small, and thin septum, then refining a wide nasal bridge and bulbous tip using lateral osteotomy, a custom-carved silicone implant, and autologous rib cartilage tip plasty.

Preoperative condition · Postoperative record

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction — Before-and-after comparison
Before-and-after comparison

Noses with an arrow nose and bulbous tip: why we start with septal reconstruction

A clinical case in which a septum damaged from two previous surgeries and chronic nasal obstruction were restored using autologous rib cartilage reconstruction, septoplasty, rhinitis surgery, and bulbous tip correction.

Preoperative condition · Postoperative record

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction — Before-and-after comparison
Before-and-after comparison

Why does the nose look crooked when the osteotomy site is over-resected? Nasal bone restoration and nasal tip reconstruction

For a patient who developed an over-resected area and a crooked nose following a past osteotomy, we performed left nasal bone restoration, autologous rib cartilage septal extension, a customized silicone implant, and nasolabial angle correction.

Preoperative condition · Postoperative record

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction — Before-and-after comparison
Before-and-after comparison

Why the nose flattens and widens after double-jaw surgery, and septal reconstruction

After double-jaw surgery weakened the septum, the nose became lower and wider; we reinforced it through septal reconstruction with autologous rib cartilage and completed a smooth profile using a customized silicone implant.

Preoperative condition

What sets the limit when you want a higher nasal bridge: 3D custom implant and autologous rib cartilage tip support — Before-and-after comparison
Before-and-after comparison

What sets the limit when you want a higher nasal bridge: 3D custom implant and autologous rib cartilage tip support

To improve the nasal bridge and glabella height in balance with prominent brow bones, the existing implant was removed, and a 3D custom implant, autologous rib cartilage tip support, and nasolabial angle correction were performed.

Preoperative condition

Why we look at the facial axis first when correcting a nose with facial asymmetry — Before-and-after comparison
Before-and-after comparison

Why we look at the facial axis first when correcting a nose with facial asymmetry

A crooked nose, influenced by facial asymmetry, a history of orbital fracture, and facial contouring surgery, was corrected to align with the central facial axis, along with clearing existing filler and refining a drooping tip and the nasolabial angle.

Preoperative condition · Postoperative record

How permanent filler alters the shape of the nose and reconstruction methods after removal — Before-and-after comparison
Before-and-after comparison

How permanent filler alters the shape of the nose and reconstruction methods after removal

After permanent filler injections left the nose crooked and bulbous, the filler was removed, and a refined line was created using autologous rib cartilage for nasal tip support, lateral osteotomy, and a customized silicone implant.

Preoperative condition · Postoperative record

Why a bulbous nose looks blunt and wide, and how to create tip definition — Before-and-after comparison
Before-and-after comparison

Why a bulbous nose looks blunt and wide, and how to create tip definition

For a blunt, wide bulbous nose and drooping tip following nasal filler injections, we performed filler removal, created a tip support structure using autologous rib cartilage, reinforced the septum, and thinned the skin.

Preoperative condition · Postoperative record

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together — Before-and-after comparison
Before-and-after comparison

Why the nasal tip looks spread out and how to address the nasal sill and nasolabial angle together

For a wide nasal tip and nasal sill, residual filler, and a deviated septum, we removed the filler and performed donor rib cartilage tip correction, nasal sill reduction, nasolabial angle correction, septoplasty, and rhinitis surgery.

Preoperative condition · Postoperative record

Bulbous, drooping nasal tip and an obtuse nasolabial angle: causes and correction methods — Before-and-after comparison
Before-and-after comparison

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

For a drooping, bulbous nasal tip, asymmetric nasal bridge, deviated septum, and rhinitis symptoms, we performed nasal tip correction using autologous rib cartilage, nasolabial angle adjustment, silicone implant replacement, septoplasty, and inferior turbinate reduction.

Preoperative condition · Postoperative record

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed — Before-and-after comparison
Before-and-after comparison

Why a wide tip often comes with nasal obstruction, and how foreign material removal and reconstruction are performed

For nasal obstruction caused by nasal bridge filler, a bulbous nose, a deviated septum, and inferior turbinate hypertrophy, foreign material was removed, followed by nasal tip correction using autologous rib cartilage, septoplasty, and turbinoplasty.

Preoperative condition · Postoperative record

Why a bulbous, drooping nose makes the midface look long, and reconstruction methods using calcified rib cartilage — Before-and-after comparison
Before-and-after comparison

Why a bulbous, drooping nose makes the midface look long, and reconstruction methods using calcified rib cartilage

A case involving an implant from 17 years ago, residual filler, and a long, drooping nasal tip. Calcified autologous rib cartilage was harvested to correct the nasolabial angle and lower the radix starting point.

Preoperative condition · Postoperative record

Why the nose looks wide and bulbous, and how to correct it with septal cartilage and ear cartilage — Before-and-after comparison
Before-and-after comparison

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

A case of a wide, bulbous nasal tip and asymmetry with no prior surgical history. Autologous septal and ear cartilage were used to construct a support strut, and septal and turbinate surgery were performed concurrently.

Preoperative condition · Postoperative record

Why the nasal tip droops and spreads when smiling after rhinoplasty: foreign material removal and tip correction methods — Before-and-after comparison
Before-and-after comparison

Why the nasal tip droops and spreads when smiling after rhinoplasty: foreign material removal and tip correction methods

A case of nasal tip drooping, a pinched look, and tip spreading after nasal filler injection and silicone rhinoplasty 7 years ago. Foreign materials and the silicone implant were removed, and the nasolabial angle was corrected while reinforcing tip support.

Preoperative condition · Postoperative record

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement — Before-and-after comparison
Before-and-after comparison

Short and upturned nose with insufficient septal cartilage: how to lengthen it with rib cartilage reinforcement

A short, upturned nose caused by septal cartilage deficiency from a previous surgery was corrected with septal reconstruction using autologous rib cartilage, combined with chin filler removal and receding chin correction.

Preoperative condition · Postoperative record

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