2026-05-25
Rhinoplasty for a Low and Bulbous Nose
A case study of a 20-year-old female who achieved a refined, sophisticated look through bridge augmentation and bulbous nose correction using septal cartilage.
* Basic Information
# Female in her 20s
# Low and bulbous nose
* Consultation
# The patient desired improvement because her nasal bridge was low and the tip of her nose appeared blunt and wide.
# Pre-operative CT scans showed that the septal cartilage was straight and sufficient in size. Therefore, we decided to elevate the nasal tip using a septal extension graft and raise the bridge using a silicone implant.
# Since elevating the nasal tip alone would sufficiently improve the appearance of the wide alae, we decided not to perform an alar reduction.
* Surgical Plan
# Bridge Rhinoplasty (Silicone implant, Osteotomy)
# Tip Rhinoplasty (Bulbous nose correction, Septal extension graft)
* Post-operative Progress
# There are several types of bulbous noses: 1. Thick skin, 2. Thick soft tissue (subcutaneous fat, etc.), 3. Splayed and wide cartilage. Naturally, these factors often occur in combination, so it is best to correct each factor appropriately. We sculpted the skin and soft tissue to be thinner and refined the cartilage to create a sleek shape.
# We achieved the ideal nasal tip angle using septal cartilage and ear cartilage.
# With the bulbous nose corrected, her overall impression has transformed into a much more sophisticated look!
Consultations and surgeries should be performed by a board-certified plastic surgeon!
The ‘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 and vary by individual; caution is required.
Frequently Asked Questions
How can a low and bulbous nose be improved?
A low and bulbous nose can be improved by raising the bridge with silicone implants and osteotomy, and the tip with septal extension grafting and ear cartilage. Depending on the type of bulbous nose, customized surgery is performed to trim the skin and soft tissues and rearrange the cartilage.
What are the main types of bulbous noses?
The main types of bulbous noses include cases where the skin is thick, where the soft tissues such as subcutaneous fat are thick, and where the cartilage is spread out and wide. These types often appear in combination.
What materials are used for nose tip surgery?
For nose tip surgery, septal cartilage and ear cartilage are mainly used to achieve the ideal nose tip angle. The grafted cartilage supports the nose tip and shapes it.
Was alar reduction surgery performed simultaneously?
No, alar reduction surgery was not performed separately in this case. It was determined that simply raising the nasal tip could sufficiently improve the wide alar, so alar reduction was omitted.
What kind of impression change occurs after surgery?
As the bulbous nose was corrected, the overall impression changed to a more refined one. Harmonious improvement of the nasal bridge and tip can enhance the overall balance and three-dimensionality of the face.
Who should I consult for nose surgery?
It is recommended to consult a plastic surgeon for nose surgery consultation and procedure. You can establish a surgical plan suitable for you through consultation with an experienced specialist.