2026-05-25
Bulbous Nose Rhinoplasty and Columella Correction
A case study of a teenage female patient who underwent bulbous nose correction and columella lengthening to achieve a more refined, sophisticated facial profile.
* Basic Information
# Female in her teens
# The nose is low and bulbous. A retracted columella makes the nose appear even more blunt.
* Consultation
# The patient visited to correct a bulbous nose. While traditionally called a ‘lucky nose’ in Korea, many people seek improvement because it can look heavy or blunt. Additionally, the significantly retracted columella gives a somewhat ‘stifled’ impression. We decided to perform columella lengthening (columellar extension) to create an ideal nasolabial angle.
# By refining the nasal tip while raising and smoothing the bridge, we can achieve a satisfying nasal line. In particular, the upper part of the nasal tip is bulging, so smoothing this area will be a crucial part of the process.
# Since the forehead lacks volume, I also recommended fat grafting, but she decided to save that for another time.
* Surgical Plan
# Nasal Tip Surgery (Bulbous nose correction, Columella lengthening)
# Nasal Bridge Surgery (Osteotomy, Silicone implant)
* Post-operative Progress
# While correcting the bulbous nose, we simultaneously extended the retracted columella to create an ideal nasolabial angle.
# The patient was very satisfied as the surgery resulted in a much more sophisticated look.
# If she undergoes forehead fat grafting in the future, her profile line will be even more enhanced.
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The VIBE that comes from rich experience.
Dr. Young-moon Yoo, Representative Director of VIBE Plastic Surgery
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual; caution is required.
Frequently Asked Questions
In what cases is bulbous nose rhinoplasty necessary?
Bulbous nose rhinoplasty may be considered when the nose is low and blunt, especially when the upper part of the nasal tip protrudes, giving an overall stuffy impression. In this case, the focus was on improving the blunt bulbous nose to create a slender and smooth nose line.
What is columella correction (columella reduction)?
Columella correction is a surgery to lower the columella, which is the nasal column, to create an ideal nasolabial angle when the columella is too recessed, making the nose look stuffy or blunt. This can improve the shape of the nasal tip and balance the overall face.
What surgical methods are mainly used for bulbous nose rhinoplasty?
In this case, nasal tip plasty (bulbous nose rhinoplasty, columella reduction) and nasal bridge plasty (osteotomy, silicone implant) were performed together for bulbous nose rhinoplasty. It is important to make the nasal tip slender and raise the nasal bridge line for a smooth correction.
When can I expect to see changes after bulbous nose and columella correction surgery?
In this case, one month after surgery, it was confirmed that the bulbous nose was corrected and the columella formed an ideal nasolabial angle, completing a more sophisticated nose line. Individual differences may occur.
What are the possible side effects after nose surgery?
Yes, as with all surgeries, side effects can occur after nose surgery. This text mentions bleeding, inflammation, infection, and asymmetry as possible complications and side effects, and caution is needed as there may be individual differences.
Forehead fat grafting was also recommended; what was the reason?
The patient in this case had a flat forehead, so forehead fat grafting was recommended. Filling the forehead volume can enhance the nose line, creating a more harmonious and sophisticated overall impression.