Low Hump Nose and Bulbous Tip Correction

* Basic Information

• 20s female
• Low nasal bridge with a hump
• Blunt appearance due to a bulbous tip

* Consultation

• The patient wanted to improve the unevenness caused by the hump on her low bridge.
• She expressed stress over the blunt impression caused by her bulbous nose.
• While she desired a sleek ‘straight-semi-curved’ line, her alar and septal cartilages were small. It was determined that autologous cartilage alone would be insufficient, so the surgery was planned using donated rib cartilage.

* Surgical Plan

• Bridge Rhinoplasty (Hump correction, elevation with silicone implant)
• Tip Rhinoplasty (Donated rib cartilage + Septal cartilage: Septal extension graft & Ear cartilage: Onlay graft)
• Alar reduction

* Post-operative Progress

1. The septum was harvested while preserving as much as possible, and the nasal tip was shaped using donated rib cartilage and ear cartilage. As a result, a natural yet sharp straight-semi-curved tip was achieved.

2. To correct the bulbous tip, some fatty tissue was removed, and alar reduction was performed to create a more slender and sophisticated look.

* Key Points

1. There are differing opinions among both patients and surgeons regarding the use of donated rib cartilage. While I do not recommend or insist on its use unconditionally, I believe it is a viable option when truly necessary.

2. The biggest concerns with donated rib cartilage are inflammation and tip drooping. Since it is a foreign material, the risk of inflammation may be slightly higher compared to using only autologous cartilage. Also, depending on the absorption rate, the tip may unexpectedly droop or warp.

3. However, I believe these issues mostly occur when the tip is raised excessively beyond what the individual can handle, or when influenced by factors like smoking. Therefore, if a proper surgical plan is established and negative factors like smoking are avoided, donated rib cartilage is a sufficiently good and sometimes necessary material.

Consultations and surgeries should be performed by a plastic surgery specialist!

Wishing you both health and beauty today :)

Right Thought, Right Plastic Surgery - Dr. Yoo Young-moon

Complications and side effects such as bleeding, inflammation, infection, and asymmetry may occur after surgery and vary by individual; caution is required.