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What Are the Designally Important Points in Bulbous Nose Surgery?

April 31 Plastic Surgery · 4월31일성형외과 · December 24, 2019

What Are the Designally Important Points in Bulbous Nose Surgery? In the past, people used to look at fortunes or face readings, so depending on their interest in their future, the...

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This page is an English translation of a Korean Naver Blog archive entry. For exact wording and source context, verify against the Korean archive original and the original Naver post.

Clinic: April 31 Plastic Surgery

Original post date: December 24, 2019

Translated at: April 25, 2026 at 8:14 AM

Medical note: This translation does not guarantee medical accuracy or suitability for treatment decisions.

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In the past, people used to look at fortunes or face readings, so depending on their interest in their future, they believed that facial features were also connected to this. However, as people have recently become more interested in external appearance than face reading, a beautiful nose is now preferred more for aesthetic reasons than for fortune-telling reasons.

In the past, people often focused only on raising and shaping the bridge of the nose, or on following a trendy shape. As a result, the surgery could look obvious and unharmonious, causing awkwardness and possibly leading even to revision surgery. For that reason, these days people prefer a method that is naturally adjusted to their own face shape. 

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With the recent development of medical technology, more people are considering cosmetic surgery to improve their image. Among these, the nose carries a very high level of importance. However, as the emphasis on overall proportions has increased, the surgeon’s method and aesthetic sense can determine the outcome, so the likelihood of revision surgery due to secondary problems or dissatisfaction is also very high.

For this reason, it is advisable to proceed with the first nose surgery carefully. The nose requires attention to various aspects such as facial proportion, harmony, and balance. Because it also plays an important functional role, it is advisable to consider not only the aesthetic side but also the functional side.

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When improving the nose, there are four important points.

First, because everyone has different facial features, the shape that best suits and looks most beautiful on each person’s face is different.

In this way, it is important to consider each patient’s face and design a shape that best suits them in line with harmony and balance.

The nose is the most three-dimensional area of the face, so it is important not only from the front but also when viewed from the side.

If you want an improvement that is visible from both the side and the front, it is better to consider various aspects such as the bridge of the nose, the forehead line, the chin tip line, the forehead, eyes, nose, mouth, cheeks, facial contours, and more.

One of the reasons revision surgery may be needed after the first nose surgery is contracture.

There are various reasons why contracture occurs, but one of them is inflammation caused by overly aggressive surgery.

Therefore, it is important to identify the range and limits of what can be safely done and proceed safely.

As mentioned earlier, the nose is an organ that also plays an important functional role, so it is important to proceed in a way that considers both aesthetic and functional aspects.

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In the past, a bulbous nose was preferred in physiognomy because it was said to bring good fortune, but recently, because the nasal tip is blunt and the alae are spread out, it can look broad and rounded in overall design and may not create a sophisticated image. If the nostrils are also wide and flared, it can give an even more dull impression.

Compared with Western people, East Asians tend to have weaker cartilage in the nasal tip, while having thicker skin and more soft tissue. For this reason, they are more likely than Western people to have a blunt nasal tip, which is why many people try to improve it.

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Even though it is all called bulbous nose surgery, there are various types, so proceeding with the appropriate method according to the cause can lead the design of bulbous nose surgery to the desired result.

At 4月31일, we provide customized surgery according to each type.

First, when the soft tissue of the nasal tip is thick and abundant, or when the cartilage in the nasal tip area is excessively developed, we improve it by trimming part of the cartilage.

When the nasal tip cartilage is spread outward, we use the patient’s own cartilage as support to firmly build the columella, so that the nasal tip appears sharper and more elevated.

When the skin is thick, we reduce the nasal tip through a double-dissection method that removes the soft tissue, fat, and SMAS layer of the nasal tip.

Finally, when the alae are wide, we improve them by removing the skin inside the nostrils on the inner side of the nasal wings to reduce the width.

This is a method that brings the base of the nose together and creates an overall triangular structure for the nasal tip.

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In the case of the nose, because it is important not only as an external feature but also as a functional one, it is important to accurately understand the outer shape, internal structure, and functional aspects before proceeding.

At 4月31일, we use 3D-CT to examine the current condition of the nose as well as the structure of the bones and soft tissue at the same time, and provide an accurate diagnosis of which method should be used.

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Dedicated to rhinoplasty

Through one-on-one consultations, customized surgery, and recovery care for bulbous nose surgery, handled by board-certified plastic surgeons Kim Jae-hoon, the chief director, and Park Seong-wan, create a refined and well-designed nose line.

For detailed inquiries and consultation, please click the banner below.

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