Female Bulbous Nose Surgery: How Much Smaller and More Refined Can a Bulbous Nose Become? > O.P Column

Hello, this is Dr. Hyung Taek Kim from KOWON Plastic Surgery.

Today, I’d like to review the case of a patient who underwent surgery for a bulbous nose, which had been a long-standing concern for her.

This particular patient had very high expectations going into the procedure.

In fact, many patients who visit for a consultation regarding bulbous nose correction tend to believe that their nose will become dramatically smaller and sharper after surgery.

However, it’s important to understand that even with surgery, we are working within the framework of your natural anatomy. That means while improvement is certainly possible, the results may not be as drastically different as those of someone with fundamentally different nasal features.

In particular, patients with bulbous noses often have thicker skin and a greater amount of soft tissue around the nasal tip.

Because of this, it can be challenging to achieve an extremely small and narrow nose shape, even with surgery.

If you look at this patient’s pre-surgery photos, you can see the thickness of the skin and a noticeable amount of soft tissue at the nasal tip, which are common features in bulbous nose cases.

This is the post-surgery view from a 45-degree angle. The bulky appearance of the nasal tip has been reduced, and the tip now looks sharper and more defined.

Since the photo was taken about 2 weeks after surgery, the scar from the alar base reduction is still quite visible. However, this will fade gradually over time with proper healing.

You can clearly see that the nose has become smaller and more refined after surgery.

However, it’s important to note that the result may not be as dramatically slim or sharp as someone who was naturally born with a very small, narrow nose.

In fact, when a nose is altered too drastically, it often ends up looking unnatural or mismatched with the person's facial features.

That’s why it's so important for rhinoplasty to aim for a result that is natural and well-balanced, in harmony with the patient’s unique facial structure and tissue characteristics, rather than trying to force dramatic changes.