2026-05-24
Revision Rhinoplasty for Bulbous and Long Nose with Thick Skin
A case study of a 20s female patient undergoing revision rhinoplasty to correct a drooping, bulbous tip and long nose appearance despite having thick skin.
* Basic Information
# Female in her 20s
# Medical History: Previous rhinoplasty using an implant and donated costal cartilage
# Current Situation: ‘I know my skin is thick, but I want a slimmer look. The tip of my nose is gradually drooping, making it look long.’
* Consultation
# The patient visited us because she was dissatisfied with the shape after her previous surgery using an implant and donated costal cartilage.
# The nasal tip is gradually drooping and looks blunt. We planned to create a more satisfying nose line through bulbous nose correction and long nose correction.
* Plan
# Bridge Rhinoplasty
- Implant replacement
# Tip Rhinoplasty
- Long nose & bulbous nose correction
* Post-operative Progress
1. Following the revision surgery, a more defined ‘straight-semi-curved’ (jik-ban) nasal tip line was achieved.
2. The patient was very satisfied as the tip was enhanced in a way that is both glamorous and natural, which also provided a more youthful appearance to the face.
3. While thick skin can limit the extent of bulbous nose improvement, the refined line resulted in a much more satisfying outcome!
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
Vibe Plastic Surgery Clinic complies with medical laws. These before-and-after photos were taken under the same conditions and with the patient’s consent. Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and can vary by individual; caution is required.
Frequently Asked Questions
Is revision surgery for a bulbous nose possible even with thick skin?
Yes, it is possible. While thick skin might limit the extent of improvement for a bulbous nose, a satisfactory result can be achieved as the nose line becomes more defined after surgery. In this case, a sharp nasal tip line was achieved despite the thick skin.
In what cases should I consider revision rhinoplasty?
Revision rhinoplasty is mainly considered when you are not satisfied with the results of a previous surgery, or when there are changes in shape, such as the nasal tip gradually drooping or appearing blunt. The patient in this case also decided on revision surgery because their nasal tip had become longer and blunter.
How are long nose and bulbous nose corrections performed?
In this case, an implant replacement was performed for the nasal bridge augmentation, and during the nasal tip surgery, both the long nose and bulbous nose were corrected simultaneously. This resulted in a satisfactory nasal line.
What changes can I expect after revision rhinoplasty?
After surgery, you can expect a sharper and more refined nasal tip line. In this case, a semi-straight nasal tip line was achieved, which also had the effect of making the face look younger, leading to high satisfaction.
What are the possible side effects of revision rhinoplasty?
Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery, and these can vary from person to person, so caution is required.