Surgical History:
Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.
nose shape and columella retraction. Through this case, I’ll outline our approach to achieve natural and balanced results using a closed rhinoplasty technique.
1. Patient’s Surgical History and Goals
Pre-Surgery Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos
Surgical History:
Three years ago: Nasal filler injections (two to three sessions with 1-year and 5-year fillers)
Eight months ago: Philtrum reduction surgery
Goals:
Correct bulbous (wide) nasal tip and dragon nose appearance
Address columella retraction
2. Pre-Surgical Analysis
Pre-Surgery Design Consultation: Nostril View, Right Side View, and Oblique Side View Photos
Front View: Bulbous, wide nasal tip with a dragon-like contour; low nasion, with a slightly deviated bridge
Side View: Low nasion and retracted columella; protrusive lip profile
Nostril View: Asymmetry in nostril shape
3. Surgical Plan
To achieve the desired outcomes, we devised a strategic surgical plan:
Bulbous Nose Correction:
Septal extension graft for better support and definition
Removal of excess subcutaneous tissue
Repositioning and suturing of alar cartilage to create a more refined tip
Dragon Nose Correction:
Repositioning alar cartilage to reduce the dragon-like contour
Lowering the nostrils by adding septal cartilage to the alar structure for a more harmonious shape
Tip Elevation:
Using septal cartilage and donor rib cartilage for a controlled septal extension graft to elevate the tip and provide a natural contour
Bridge Correction:
Complete removal of residual filler
Insertion of a silicone implant to create a straight, balanced bridge line
4. Post-Surgical Results
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Before Surgery (Left) / Immediately After Surgery (Right)
Nasal Contour: The previous bulbous and slightly deviated shape was refined, achieving a balanced and natural appearance.
Columella: Lowering the columella adjusted the nasolabial angle, enhancing the profile’s balance.
Bridge Proportion: Raising the nasion improved the overall proportions of the nose and face.
Nostril Symmetry: Nostril asymmetry was corrected, giving a more uniform, natural appearance.
Photos Immediately After Surgery: Frontal, Side, and Oblique Side Views
Photos Immediately After Surgery: Nostril View
5. Key Points in Bulbous Nose Correction
The goal isn’t to make the nose overly thin but to achieve a natural balance. Defining the tip and enhancing the contours with structural support are more effective than reducing overall size.
Tip projection and height are crucial to create depth and balance. The tip’s height enhances its three-dimensional look.
Cartilage repositioning and suturing refine the shape, helping the nose appear slimmer without losing natural appeal.
Caution is essential when removing subcutaneous tissue. Over-removal can lead to complications like skin necrosis or excessive scarring, which could worsen the bulbous appearance. Consulting with a specialist is key for safe and precise results.
Correcting bulbous and dragon nose features requires a tailored approach based on individual anatomy. At Nose Lab Clinic, we carefully analyze each patient’s unique needs to design an optimal surgical plan. If you’re considering a natural and balanced nasal enhancement, consult a specialist to find the best approach for you.
Thank you,
Dr. Cha-Young Kang, Director of Nose Lab Clinic.
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