[Kowon Plastic Surgery] Spread Nose Tip and Flat Bridge, Both at Once! A Graceful Line Completed with Bulbous Nose Tip Surgery

Hello, I'm Dr. Hyung-taek Kim, director at Kowon Plastic Surgery Clinic.

The patient who visited me this time was a case that truly called for bulbous nose tip surgery, as the nose tip looked round and spread out. The nose bridge and tip lacked some dimension, so the nose appeared somewhat sunken into the center of the face.

In reality, simply raising the nose won't produce the look this type of patient is hoping for. Beyond the width and direction of the nose tip and its smooth connection with the nose bridge, the volume must also be addressed during bulbous nose tip surgery in order to achieve a harmonious and refined result.

These days, many people prefer a ‘graceful nose line’ that feels natural yet still has a striking appeal. However, if you simply raise the nose without enough facial dimension, the nose can end up looking like it's floating on its own. That's why I focused on balancing the whole face rather than over-elevating the nose.

[Surgical Plan and Procedure]

After analyzing the proportions of the entire face, I used silicone to appropriately build up the nose bridge and carefully adjusted it to sharpen the definition at the center of the face. For bulbous nose tip surgery to refine the flared nostril wings, I repositioned and sutured the cartilage and cleanly removed unnecessary soft tissue. To keep the shape from loosening over time, I placed a firm autologous cartilage strut to improve stability.

Beyond simply narrowing the width, I focused on creating a smooth curve connecting the nose bridge and tip. To reduce the heaviness typical of cases with thick skin, I combined delicate tissue removal with bulbous nose tip surgery to establish a refined line.

Before-and-after side view of the nose from below; the 'after' photo was taken right after surgery.

I designed the result around a currently trending look: understated yet rich in detail. Adding dimension to the face can give the overall impression a more polished look. I guided the surgery so the patient could regain a clearer impression while fully preserving their original natural mood.

I also took a three-dimensional view of the angles linking the columella, nasolabial angle, and philtrum to enhance the profile. Rather than making just one area stand out, I drew on Kowon Plastic Surgery's know-how to finish the result so that the entire face looks harmoniously refined.

[Related Reference Case]

In this patient's case, the nose tip was short and upturned, making the nostrils fairly visible from the front. The overall size of the nose was on the small side, and the amount of septal cartilage available for surgery was limited, so the key was to lengthen the nose tip generously.

Side profile before and 5 days after, with a dotted line tracing the nose; the bridge is still taped. Dr. Kim Hyung-taek, KOWON.

To make up for the limited material, I secured a sufficient amount using ear cartilage or rib cartilage, then firmly projected the nose tip and columella forward to balance the whole face. During this process, I brought out the alar wings that had been sinking toward the cheeks and also smoothly corrected the blunt, bulbous nose contour.

Day 5, bulbous upturned nose + J-curve philtrum fix. Before: low nasal root, bumpy bridge, short upturned tip; after: smooth, feminine line.

Although it may look like a simply short, round nose at first glance, I designed it so the nose bridge and tip connect harmoniously by combining delicate correction with nose tip lengthening.

Even though there was still some swelling right after surgery, the previously round and somewhat dated-looking image was neatly refined. From every angle, the nose came alive with a refined, feminine, graceful quality, and even the protruding-looking lip area was naturally tidied, completing a more elegant overall impression.

[Words from the Director]

As in this case, if the nose tip is short and spread out or the bone structure looks flat, correcting the overall proportions and three-dimensionality is far more important than simply filling in height. Naturally gathering the volume of a bulbous nose is a delicate procedure that requires a high level of skill.

I avoid one-size-fits-all designs. Instead, I three-dimensionally analyze each person's face shape, skin thickness, and skeletal structure to find the most harmonious and refined graceful nose line. Rather than a nose that only looks striking on the surface, I always strive for high-quality results that stay firm over time and flow smoothly into the profile. If you're looking for a natural change that suits your face, please feel free to visit anytime.

Frequently Asked Questions

When is bulbous nose tip surgery needed?

It is introduced as a procedure for cases where the nose tip is round and spread out, and a lack of dimension in the nose bridge and tip makes the nose look sunken into the center of the face. The director explains that simply raising the nose makes it difficult to achieve the desired look.

Is bulbous nose tip surgery just about raising the nose?

No. Simply raising the nose will not achieve the desired look. The director explains that the width and direction of the nose tip, its smooth connection with the nose bridge, and its volume must all be addressed together to achieve a harmonious and refined result.

How is cartilage used in bulbous nose tip surgery?

The director explains that cartilage is repositioned and sutured, and a firm autologous cartilage strut is placed to improve stability so the shape does not loosen over time. In cases where cartilage is insufficient, ear cartilage or rib cartilage was used to secure an adequate amount.

When is nose tip lengthening considered?

It was introduced as a key lengthening procedure for cases where the nose tip is short and upturned, making the nostrils fairly visible from the front. In this case, the septal cartilage supply was limited, so the amount was secured with ear or rib cartilage before the nose tip and columella were lengthened forward.

Can you see a change in shape even with swelling right after surgery?

Yes. In the featured case, even though some swelling remained right after surgery, the previously round and dated-looking image was neatly refined. The director explains that the nose looked refined from every angle.

How does Kowon Plastic Surgery approach design?

The clinic avoids one-size-fits-all designs and instead three-dimensionally analyzes face shape, skin thickness, and skeletal structure to find a line suited to each individual. It also considers the proportions of the whole face and the flow of the profile.