Bulbous Nose Revision Rhinoplasty, No-Implant Method

* Basic Information

# Female in her 20s

# Medical History: Surgery performed several years ago using ear cartilage and mesh

# Primary Concerns: The nasal tip still looks large, blunt, and droopy.

* Consultation

# The patient mentioned that her nose was originally a large and blunt ‘bulbous nose’. Her biggest stress was that the tip did not improve much after the first surgery and appeared to be drooping.

# We planned to correct the bulbous nose further through revision rhinoplasty to make it more defined and sleek.

# Additionally, since the tip of her nose was inexplicably red, we decided to investigate this during the procedure.

# As she did not want to use any implants, we decided to proceed with a no-implant rhinoplasty.

* Surgical Plan

# Bridge Rhinoplasty

- Osteotomy

# Tip Rhinoplasty

- Bulbous nose correction (Revision)

- Alar reduction

* Post-operative Progress

1. During the surgery, we found mesh implanted in the nasal tip and removed it. Mesh is a material used supplementally to raise the nasal tip; while it generally does not cause issues, it can sometimes lead to inflammation or other problems, causing redness at the tip. It is unclear if it was solely due to the mesh removal, but the redness at the tip has been resolved.

2. Bulbous nose surgery, especially in cases like this where the skin is thick and it is a revision surgery, has its limitations. However, it is a procedure with high patient satisfaction when tissues are reduced as much as possible and the nasal line is improved.

3. If the nasal bridge is sufficiently high, a natural nasal line can be created without using implants!!

Consultations and surgeries should be performed by a board-certified plastic surgeon!

VIBE that comes from rich experience

Dr. Yoo Young-moon, Representative Director of VIBE Plastic Surgery

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

Is it possible to perform a revision rhinoplasty for a bulbous nose without implants?

Yes, it is possible. If the bridge of the nose is sufficiently high, a natural nose line can be created without using implants. In this case, a bulbous nose correction and alar reduction were performed without implants, achieving satisfactory results.

Why does the tip of the nose turn red?

There can be various reasons why the tip of the nose turns red. In this case, it was possible that the mesh implanted during a previous surgery caused inflammation, leading to redness of the nasal tip, and the redness resolved after mesh removal.

In what cases should revision rhinoplasty for a bulbous nose be considered?

Revision rhinoplasty for a bulbous nose can be considered if the nasal tip remains large, blunt, or droopy after the initial surgery, leading to dissatisfaction. Specifically, improving the shape of the nasal tip and reducing the alar can correct the overall nose line.

Can a bulbous nose with thick skin be improved with revision surgery?

Yes, it can be improved. While there may be limitations in correction for a bulbous nose with thick skin and a revision surgery, satisfaction can be increased by minimizing tissue and improving the nose line as much as possible.

Is mesh removal sometimes necessary during revision rhinoplasty?

Yes, it may be necessary. Mesh is used as an auxiliary material to heighten the nasal tip, but it can sometimes cause problems such as inflammation, leading to redness of the nasal tip. In such cases, mesh removal can resolve the issue.