2026-05-25
Bulbous Nose & Low Bridge Rhinoplasty
A 20-year-old female patient underwent rhinoplasty to correct a low bridge and wide, bulbous nose using silicone implants and donated rib cartilage.
* Basic Information
# Female in her 20s
# Low and blunt bulbous nose
* Consultation
# The patient desired improvement because the nasal bridge was low and the tip was blunt.
# Pre-operative CT scans showed a significantly deviated and small nasal septum, so we planned to use donated rib cartilage.
# Since raising the tip alone would not reduce the wide alar base, an alar reduction was also planned.
* Plan
# Bridge Rhinoplasty (Silicone implant, Osteotomy)
# Tip Rhinoplasty (Bulbous nose correction, Alar reduction)
* Post-operative Progress
# There are several types of bulbous noses: 1. Thick skin, 2. Thick soft tissue (subcutaneous fat, etc.), 3. Spread and wide cartilage. Naturally, these factors often occur in combination, so it is best to correct each factor appropriately. This involves sculpting the skin and soft tissue to be thinner and refining the cartilage to create a sleek shape.
# We achieved the ideal nasal tip angle using septal cartilage and donated rib cartilage. The tip looks much more defined when the nasolabial angle is properly addressed. The importance of the nasolabial angle cannot be overemphasized!
# With the bulbous nose corrected, her overall impression has changed to look much more sophisticated!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience.
Vibe Plastic Surgery Clinic, Chief Surgeon Dr. Yoo Young-moon
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery depending on the individual, and caution is required.
Frequently Asked Questions
In what cases is bulbous nose surgery necessary?
Bulbous nose surgery is necessary when the skin or soft tissue is thick, or when the cartilage is spread out and wide. These complex factors can be appropriately corrected and improved.
How can a low nose bridge and a blunt nasal tip be improved?
A low nose bridge can be improved with silicone implants and osteotomy, while a blunt nasal tip can be corrected through bulbous nose surgery and alar reduction. Septal cartilage or donated costal cartilage is used to achieve an ideal nasal tip angle.
What materials are used for rhinoplasty if there is a deviated septum?
If the septum is significantly deviated and small, donated costal cartilage can be used for nasal tip plasty instead of autologous septal cartilage. This is determined based on the patient's condition.
How can one's impression change after rhinoplasty?
When a bulbous nose is corrected and the nasal tip angle is ideally improved, the overall impression can become more refined and prominent. The importance of the nasolabial angle is emphasized.
What side effects can occur after rhinoplasty?
After rhinoplasty, various complications and side effects such as bleeding, inflammation, infection, and asymmetry can occur. These side effects may vary depending on the individual, so caution is required.
In what cases is alar reduction considered?
Alar reduction is planned when lifting the nasal tip alone is not enough to sufficiently reduce wide nostrils. It is effective in improving wide nostrils along with a blunt nasal tip.