2026-11-04
Bulbous Nose Reduction Case: Improving a Blunt Nose Tip with Kowon Plastic Surgery's Custom Line Design
A case study of bulbous nose reduction for a wide, blunt nose tip, plus revision rhinoplasty with rib cartilage, showing Kowon Plastic Surgery's custom line design approach.


Hello, I am Dr. Kim Hyeong-taek, director of Kowon Plastic Surgery.
The patient who visited me had a bulbous nose, with a somewhat wide, flattened nose tip that gave a blunt impression.
Overall, the nose was low and recessed, which made the face look dull and heavy. In cases like this, the key is not simply raising the nasal bridge but performing a bulbous nose reduction procedure that firmly refines the internal structure, reduces volume, and centers the overall line.
"By delicately removing excess soft tissue and gathering the spread-out cartilage, the dull impression was neatly refined."
After carefully suturing the widely spread cartilage together, we set up sturdy support structures to create a framework so that it would not spread out again over time.

"By creating a smooth flow from the nasal dorsum to the nose tip, we achieved a refined bulbous nose reduction result that looks elegant from both the front and the side."
In addition, by balancing the columella, the nasolabial angle, and the angle leading down to the philtrum, we added a visual effect that makes a protruding mouth appear slightly recessed.
Because the procedure was carefully performed with consideration for the balance of the whole face, the patient emerged with a much fresher and more natural impression.
[Related Case]
This patient had undergone several previous nose surgeries, which left the nasal bridge uneven and grooved, and the hump line of the nose was not smooth, leaving them quite dissatisfied.
Overall, the nose looked somewhat short, and when viewed from below, nostril asymmetry was also noticeable, adding to their dissatisfaction.

After careful consideration, Kowon Plastic Surgery planned a revision surgery using autologous rib cartilage, taking the condition of the existing tissue into account.
Unevenness and the hump on the nasal dorsum were carefully refined through osteotomy, and instead of silicone, minced rib cartilage was used on the nasal bridge to restore a natural height.

During this process, bulbous nose reduction surgery was performed alongside to correct the structure of the blunt nose tip, and the line from the nasal dorsum to the nose tip was neatly refined into a slim, crisp straight line.
The visible depressions and nostril asymmetry seen before surgery were also noticeably improved, and the columella and philtrum angles harmonized well, giving the patient a much more stable and refined appearance.
[Closing Thoughts]
The most important thing is to establish a customized plan by comprehensively considering each person's unique internal cartilage structure, skin thickness, and overall facial feature balance.
"Through a precise pre-operative diagnosis, we can find a custom line that fits each individual perfectly, helping to achieve an even more refined and three-dimensional change in impression."

With its expertise, Kowon Plastic Surgery offers bulbous nose reduction surgery that goes beyond simple height improvement, meticulously refining the front and side profiles as well as the philtrum angle.
If you have been concerned about a dull, heavy nose line, we encourage you to consult with us to find your own most ideal proportions through personalized consultation.
