Bulbous Nose
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What is a Bulbous Nose?
In Korea, a nose with a large and blunt tip is referred to by various terms, such as a blunt nose, bulbous nose, fist nose, bulbous tip, or box-shaped tip. Specifically, a bulbous nose is defined as a nose where the ratio of the width of the nose tip (tip lobular mass width) to the width of the nostrils (alar base width) is 60% or more.
Types of Bulbous Nose Surgery
Most correction methods for a bulbous tip have been introduced as surgical methods using well-developed alar cartilage seen in Westerners, such as cartilage resection and reduction, graft and suture technique etc. However, in Asians, where the development of alar cartilage is poor and the cause of the blunt nose tip is due to thick nose skin, manipulation of the alar cartilage alone often yields disappointing results.
Cases Requiring Bulbous Nose Surgery
1. When the nose is blunt and only the nose is visible on the face.
2. When the nose is blunt and the proportion of the nose is not right.
3. When the width of the nose tip is relatively wide compared to the width of the nose.
Changes After Bulbous Nose Surgery
Case A: 42-year-old female patient with thin skin and loose fascia.
Correction was achieved using medial and lateral crus resection, trans and interdomal suture, lateral crural spanning suture etc.
Before | After |
Before | After |
Case B: 25-year-old female patient with thick skin and loose fascia.
Correction was achieved using cartilage manipulation, enbloc SMASectomy, and additional defatting.
Before | After |
Before | After |
Case C: 22-year-old female patient with thick skin and dense fascia.
Correction was achieved using cartilage manipulation and enbloc SMASectomy. Post-operative care included triamcinolone injections at 3 and 6 months.
Before | After |
Before | After |