Q. Which is the right choice: nasal osteotomy or tip elevation in nose surgery?

Hello, I’m Dr. Kim Hyung-taek of Kowon Plastic Surgery.

The nose is located at the center of the face and is an important feature that determines the overall impression.

Therefore, when the shape appears broad, such as with a bulbous nose or wide nostrils,

rather than simply performing osteotomy or reduction, the key is to carefully design the nose tip in nose surgery.

During consultations, I closely analyze the patient’s facial shape and structure,

and guide them to minimize unnecessary nasal osteotomy and complete a natural nasal line.

Today, through a real inquiry case, let’s take a look at which method is more suitable between nasal osteotomy and nose tip surgery.

Q.

Hello~ My nose is bulbous, so I’d like to get a consultation focused on nose tip surgery.

The red area marked in the photo looks especially wide,

and maybe that’s why when I wear glasses, my nose feels more prominent and looks larger.

I looked into it and heard that combining nasal osteotomy or nostril reduction surgery would be helpful,

but I would like to avoid artificial implants such as silicone if possible.

Is there a nose tip correction method that would be more suitable for my nose?

#nasalosteotomy #nosetipsurgery #KowonPlasticSurgery

A.

Hello. I’m Dr. Kim Hyung-taek of Kowon Plastic Surgery.

From what you’ve inquired about, your current nose shape seems

more suitable for correction centered on nose tip surgery rather than nasal osteotomy or nostril reduction.

The area you marked is the part where the lower soft tissue of the nose is broadly spread out,

and rather than directly reducing this area, it is more effective to raise or narrow the nose tip.

In other words, by using nose tip correction to gather or lift the cartilage at the tip,

the overall contour can look much sharper.

If this area is reduced too aggressively or the bones are moved excessively through nasal osteotomy,

it can affect breathing, so caution is needed.

Therefore, the key to the surgery is to precisely design the nose tip rather than the bridge.

Since the current nasal structure is not significantly abnormal or severely problematic,

it can be improved sufficiently without combining nasal osteotomy. However, because there are cases where a slight osteotomy is needed to consider the overall balance of the nose,

the safest approach is to decide the exact surgical direction after an in-person visit, 3D imaging, and consultation.

I hope you get a good result. Thank you.

Hello. I’m Kim Hyung-taek, chief doctor at Kowon Sinsa Station Plastic Surgery.

Today, I’d like to introduce a case of a female patient who achieved a natural and refined look

by combining nose tip lifting, bulbous nose surgery, and a surgery without implants.

This patient said that since childhood, she had felt burdened when showing her face from the front

due to a crooked nose and a bulbous nose shape.

After consultation, we decided to perform surgery to correct the balance between the nose tip and the bridge,

and now let’s look at the changes before and after surgery.

Looking at the first photo on the left, the bridge is curved to the right,

and the nose tip spreads outward, showing a bulbous nose shape.

To improve this, we corrected the curved line with osteotomy,

and performed nose tip lifting to refine the wide cartilage at the tip. The lower photo also shows that the nose tip cartilage had spread sideways,

which was the reason the nose tip looked dull in shape.

Through nose tip lifting, we naturally raised the low and spread-out tip,

and improved the impression of the nose looking lower from the front with surgery to correct the depressor septi nasi muscle.

Since this patient’s bridge was not extremely low,

we proceeded with a surgery without implants, without separate silicone insertion,

and as a result, were able to complete a soft line that does not look artificial.

In other words, with the combination of bulbous nose surgery + nose tip lifting + surgery without implants,

the overall facial impression changed to look much more natural and harmonious.

This is a 45-degree side before-and-after photo taken at Sinsa Station Plastic Surgery.

The bumpy line of the bridge was neatly refined after nose tip lifting,

and by combining bulbous nose surgery and surgery without implants,

the result improved to a natural yet defined impression.

The patient expressed high satisfaction, saying, “It changed without feeling too burdensome.”

The change is also very clear from the side.

Before surgery, the nose tip was low, so the mouth looked relatively protruded,

but after bulbous nose surgery and surgery without implants, the facial dimension became more balanced,

and you can see an impression that also softly adjusted the lip line.

As such, nose tip lifting plays an important role not only in the shape of the nose

but also in balancing the entire face.

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In the photo from below, you can see that the nostrils, which were spread out before surgery,

were neatly refined through nose tip lifting and bulbous nose surgery.

Many people think that nostril reduction is needed in cases like this,

but in fact, a refined result can often be achieved with just the method of tying the nose tip cartilage together and surgery without implants.

As in this case, it is a major advantage that a natural nasal line can be created

even without unnecessary incisions or implants.

Looking at the final front-facing photo,

after nose tip lifting, the straight bridge stands out,

and the overall facial impression has become much brighter and more refined.

With the harmony of bulbous nose surgery and surgery without implants,

this was a result that achieved a natural yet definite improvement in appearance.

So far, we have introduced a real case performed at Sinsa Station Plastic Surgery.

If you want natural improvement and harmony,

consider nose tip lifting, bulbous nose surgery, and surgery without implants.

Make a consultation reservation at Kowon! If you’d like to see more cases, click the link below!