Refining a Bulbous Nose for a Sophisticated Look

The nose, positioned at the very center of the face,

has a significant influence on determining a person's

image based on its height, length,

and angle.

If you are unhappy with the current shape of your nose,

it may be possible to improve it

through a surgical solution.

Rather than simply making the nose

high and prominent,

it was preferable to refine it

while considering the characteristics

and appeal of the other facial features.

At our clinic,

we handled various cases,

including dorsal humps, crooked noses,

long noses, upturned noses,

and bulbous nose correction.

The shape commonly referred to as

a beautiful nose had a slightly concave area

just above the nostrils

when viewed from the side.

The tip and the nostrils were subtly

separated, creating a sophisticated impression.

However, if this area was not clearly separated

or the tip was blunt,

it could create an impression of being dull

or unsophisticated.

In physiognomy,

this type was called a “lucky nose,”

as it was believed to attract good fortune.

In the past, a generous-looking appearance

was viewed positively,

but these days, as refined and defined

images are preferred,

many people were instead

looking into bulbous nose correction.

People sometimes tried to create shadows

with makeup products

to compensate for a blunt nose shape,

but this had limitations.

The effect was temporary, so the nose

returned to its original appearance

after removing the makeup,

and because only the frontal appearance

was being corrected,

there was little difference when viewed

from the side.

If the appearance had even become

a source of insecurity,

it could be worthwhile to consider

bulbous nose correction.

Even among bulbous noses,

the shape varied slightly from person to person.

Therefore, it was preferable to carefully

determine the individual's type

and then attempt improvement,

such as identifying whether only the cartilage

was spread out or whether the bones themselves

were wide.

There were also several causes

for a nose to appear wide

and spread out to both sides.

The reason could not be determined clearly

based on the outward appearance alone,

because the inside of the nose

had a more complex structure

than people might expect.

Therefore, a preliminary examination

using 3D CT was necessary

to identify the cause.

At our clinic, the shape of the bones

and the condition of the cartilage

were assessed based on the examination results,

and an individually tailored solution

was devised and proposed to each patient.

The bulbous nose correction process

involved different techniques

for each type.

First, the shape of the alar cartilage,

that is, the cartilage of the nostrils,

was examined. If it was spread out,

it was brought toward the center.

If the skin was also thick,

it was slightly reduced from the inner side

to create a more defined shape.

This method could be performed

with or without excision.

If an incision was a concern,

sutures could also be used

to pull the area inward.

Depending on the circumstances,

a technique to raise the nasal bridge

could be performed at the same time.

Reducing the area of the nasal tip

and raising the bridge could create

a slimmer, more defined line.

If the CT scan showed that the bones themselves

were wide,

an osteotomy was necessary.

An osteotome was used to cut along

the outer side of the nasal bones,

after which they were moved inward.

By partially cutting the bones,

their shape could be changed

and the width adjusted as desired.

This method was divided into an approach

performed from inside the nose

and one in which an incision was made

in the outer skin to insert the osteotome.

The former left no externally visible scar,

but fine adjustment was difficult.

The latter allowed for precise osteotomy,

but had the disadvantage of leaving a mark.

The detailed process of bulbous nose correction

varied greatly depending on the patient's needs

and the shape of the nose.

It was preferable to plan the design

after having a sufficient consultation

with the attending physician

before proceeding with the treatment.

What needed to be kept in mind

was that the design should suit

the individual's face

rather than simply following

a conventionally beautiful nose shape.

The satisfaction with the result could be improved

by applying a plan that considered

the line extending from the forehead to the chin,

the distance between the eyebrows,

and the horizontal width of the nostrils

appropriate for the individual's facial features.

If a large nose was considered a complex,

simply reducing its size indiscriminately

could produce an unnatural result.

Even in cases that looked similar externally,

the method applied varied

depending on the internal nasal structure.

To avoid having to undergo a second

or third attempt,

thorough preliminary examination

and sufficient discussion

with the attending physician were necessary.

No matter how strong the medical professional's

sense of aesthetics was,

if the result did not meet the patient's expectations,

it would be difficult to consider it a success.

Therefore, the patient's desired outcome

needed to be communicated clearly

to the attending physician.

Like any other surgical solution,

this procedure required proper aftercare.

Immediately afterward, the nose was secured

with a protective device and tape

to protect it,

which was maintained for approximately one week.

Until an implant or osteotomized bone

had fully settled into place,

impact or pressure on the area

needed to be avoided.

Because infection could occur through

the incision site,

careful hygiene was also essential.

Daily activities were possible

from one to two weeks afterward,

but when an osteotomy had been performed,

bruising could spread to the area around the eyes,

so it was advisable to keep this in mind

when undergoing the treatment.

For a faster and smoother recovery,

it was advisable to avoid bending the head

or chewing hard foods.

It was also recommended to sleep

on one's back whenever possible,

and those who wore glasses were advised

to wait approximately two weeks

before wearing them.

To prevent inflammation,

smoking and drinking alcohol

needed to be avoided for at least four weeks,

and medications prescribed by the medical institution

should be taken according to the dosage instructions.

Compared with a low or crooked nose,

bulbous nose correction was a relatively

more technically demanding solution.

It was hoped that patients would consult

an attending physician experienced

in treating blunt noses

and receive a method suited to their individual needs

to achieve a more attractive appearance.

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