Through Drooping Nostril Correction in Bulbous Nose Surgery

The shape of the nose has a major

impact on one’s appearance, so many people

used all kinds of methods to create

a more refined line.

If there was a burden about excision or

if they wanted quick correction,

fillers could be used.

However, it was not a method

that applied to every case.

A typical example was what is often

called a bulbous nose.

This was not a case of a low nasal bridge

or a weak nasal tip, but rather a shape

caused by excessively developed cartilage,

so it had to be improved through

bulbous nose surgery.

Because it was not caused by a lack of

volume or a low height, it was difficult

to create the desired shape with fillers

or threads.

Before learning about bulbous nose surgery,

it was important to closely understand

the characteristics of this shape.

A bulbous nose had a high nasal bridge,

a pointed tip, and nostrils that rose upward.

It could be seen as similar to a hook nose.

When the nasal tip or alar cartilage was

congenitally overdeveloped and structural

tension occurred, this shape appeared.

Or, when the bridge was raised too high

during a previous procedure,

it could change into a hook-nose shape.

A visual characteristic of a bulbous nose

was that when viewed from the front,

the nostrils stood out prominently.

On the other hand, the nasal tip pointed

downward, making it look like a hook nose

and causing the midface to appear longer.

From the side as well, the nose could

look long, leading people to say it looked

like Pinocchio.

When the midface is long, a person can

appear older than their actual age and

may give off a stronger impression,

which became a concern.

When smiling, the nostrils could expand

sideways, making the face look awkward.

If an implant had been inserted,

the likelihood of visible implant outlines

increased over time,

so correction through bulbous nose surgery

was needed.

The way this shape was corrected

varied slightly from person to person.

To explain based on commonly used

methods, the core of correction was to

reduce the columella and lower the alar

wings.

If the columella, that is, the lower part

of the nose, is short, the mouth can

look protruded and the face can appear

flat, so many people try columella lowering.

This case was the opposite.

A long columella instead made the midface

look longer and gave the nose a more

arrow-like appearance, so it needed to be

appropriately reduced.

Before bulbous nose surgery, it was

important to clearly understand the

patient’s skin thickness and the degree

of cartilage development.

This was because reinforcement with

functional stability in mind was necessary

for satisfaction with the result to increase.

The length of the columella needed to be

adjusted to match the proportions of the

facial features.

If the procedure focused only on one area

without considering the whole,

the length could become excessively short

or the height too low.

Since concerns could grow from a bulbous

nose to an upturned nose or a hook nose,

the supporting structure had to be secured

enough while correcting it within a proper range.

Many people gained visual confidence

through this solution.

That was because they could move away from

a strong and masculine image and

transform into a softer, more harmonious face.

With both the front and side shapes in

balance, they could feel confident from

any angle.

By properly adjusting cartilage tension,

it was possible to prevent visibility,

shape distortion, and recurrence.

If functional aspects were also improved,

ENT-related conditions such as nasal

congestion or runny nose could also be

addressed.

In some cases, bulbous nose surgery was

also performed when the cartilage was small.

If the cartilage was small from birth,

the skin covering it could also be lacking

in amount.

In such cases, skin was grafted to reinforce

the mucosa.

Since multiple techniques had to be used,

such as processing and inserting cartilage,

the difficulty naturally increased.

If, during consultation at a medical

institution, you often heard that the case

was complicated, then the more reason you

had to visit medical staff with abundant

experience and know-how.

That was because this would help the

grafted area remain well maintained and

prevent another attempt.

Whether it was a first attempt or a repeat

procedure, before applying the solution,

the situation had to be understood from

multiple angles using 3D-CT and endoscopy.

If deformities such as septal deviation

or nasal valve stenosis were not noticed,

or if the procedure was forced forward

despite them, recurrence would likely happen

soon or the situation could worsen.

If the cartilage was bent or the nasal

valve was narrowed, it was necessary to

correct these together.

For repeat procedures, I would recommend

using autologous tissue or donated cartilage

rather than artificial implants.

Although the shape was not as dramatic as

with artificial implants, immune reactions

were less likely to occur and the survival

rate was good, which was advantageous for

long-term stability.

The procedure took about 1 to 2 hours,

and if the skin did not stretch well,

it could take a little longer.

The skill of the medical staff was important,

but the recovery period was determined by

the care process after the solution,

so it was necessary to continuously manage

swelling and pain.

While following the instructions given by

the medical institution, it was recommended

to visit regularly to check the progress and

receive the aftercare program.

As with any procedure, the nose had to be

protected from impact, friction, and pressure

for several weeks.

Pain could be felt for a few days, but you

could take the prescribed anti-inflammatory

pain medication according to the medication

instructions.

Since glasses could not be worn for at least

one month, it was a good idea to prepare

contact lenses in advance.

The purpose of bulbous nose surgery was to

create a softer impression and prevent the

nasal tip from drooping over time.

A beautiful nose could be achieved only when

the overall balance and harmony were considered

rather than focusing on a single area.

If you want a stable and natural-looking

result, I hope you will seek help from medical

staff with refined aesthetics and excellent

know-how.

Previous image Next image