Why Bulbous Nose Correction Calls for Caution #SideEffectsAfterBulbousNoseSurgery #BulbousNoseRhinoplasty #BulbousNoseRhinoplastySideEffects

This is a diagram of typical tip plasty.

A columellar strut made of autologous cartilage is placed like this, and the tip cartilages are then sutured to it and brought together.

At the same time, subcutaneous tissue of the nasal tip is excised to reduce the thickness of the soft tissue.

PH

23-year-old woman. 

3 weeks ago, she had tip plasty at another clinic to make the nasal tip higher and slimmer.

The reported method was a columellar strut of ear cartilage, with the tip cartilages brought together and sutured.

CC

The nasal tip looks too pointed and pinched, 

and the visible nostrils look too artificial, so she wants prompt correction.

PLAN

Early revision surgery was planned to release the sutured tip cartilages 

and reposition them to correct the pinched tip and the retracted ala (notching).

Original appearance and appearance after bulbous nose correction surgery

1) Left: before removal of the columellar strut and tip graft.

Stacked in 2 layers to raise the nasal tip and make it look pointed.

2) Right: after removal of the tip graft.

The tip cartilages are gathered at the center.

The cartilage that should be in the ala is missing.

(A) Diagram of the preoperative state.  The alar cartilages being dissected and brought to the center

(B) Structure of a nose in which the tip has been gathered abnormally, resulting in a pinched tip.

The separated alar cartilages had been brought together at the center with a columellar strut.

As a result, there is no cartilage on the alar side, leaving it empty.

The left photo shows the columellar strut being removed.

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The right photo shows the lateral crus of the tip cartilage

gathered to the center, leaving no cartilage laterally.

This is the process of releasing the tip cartilages bunched at the center and spreading them toward the alae.

Both the pinching and the notching of the nasal tip are gone.

The shape of the nostrils has also been restored naturally.