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Rhinoplasty

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DI BULBOUS-NOSE RHINOPLASTY

Goodbye to a round, blunt nose — #RefinedFromEveryAngle

What is bulbous-nose rhinoplasty?

Excessively developed cartilage or abundant fat and tissue can make the nose look large and rounded, known as a bulbous nose. DI Bulbous-Nose Rhinoplasty removes fat and reduces cartilage volume to create a more refined appearance.

Surgery information

Surgery duration
1 hour 30 minutes
Anesthesia
Sedation / general anesthesia
Hospital admission
Not usually required
Recovery period
Varies by individual
Suture removal
Required
Follow-up visits
2–3 visits

Bleeding, infection, inflammation, bruising, swelling and pain may occur. Satisfaction and outcomes vary between individuals.

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THROUGH A DETAILED ASSESSMENT

A considered approach to a balanced

Nasal contour!

Although it may appear simple from the outside, The inside of the nose has a complex structure. DI Plastic Surgery considers the overall harmony and appearance of the face and nose, using 3D CT equipment for detailed assessment.

Bulbous nose correction: three patterns

Type 1. Broad alar cartilage. The cartilage is reduced and repositioned with special sutures. Septal or ear cartilage can provide support between the left and right alar cartilages for a more defined tip. Before and after photographs. 3 months after surgery. Results vary.Type 2. Alar cartilage that spreads outward. Cartilage that flares to both sides is brought toward the center. Special sutures refine its curvature to create a more defined nasal tip. Before and after photographs. 1 month after surgery. Results vary.Type 3. Thick skin and abundant soft tissue. Subcutaneous fat and soft tissue are reduced, and the tip is raised. When bridge augmentation is combined, septal or ear cartilage can support definition at the tip. Before and after photographs. 1 month after surgery. Results vary.
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DI Bulbous-Nose Surgical Techniques

BeforeAfter
Case 01

Alar cartilage spread to either side

Cartilage spread to both sides is brought toward the center, and cartilage placed on the tip adds definition.

BeforeAfter
Case 02

Abundant fat and thick skin tissue

Subcutaneous fat and tissue are removed to make the tip slimmer.

BeforeAfter
Case 03

Broad alar cartilage

Cartilage is reduced and both sides sutured to bring the nasal wings together. Ear or septal cartilage between the separated alar cartilages creates a support for a more defined nose.

01 Conchal cartilage in the ear bowl. 02 Internal septal cartilage. 03 Anterior costal cartilage near the sternum. 04 A skin donor area with the dermal layer shown in cross-section.

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Features of DI autologous-tissue rhinoplasty

  1. 01. Ear cartilage

    Cartilage from the conchal bowl of the ear can support and refine nasal-tip contours. The incision is placed discreetly, and the remaining ear structure is preserved.

  2. 02. Septal cartilage

    Firm, plate-like cartilage from the internal nasal septum can support the nasal tip and other structures. A supporting border of septal cartilage is retained.

  3. 03. Rib cartilage

    Costal cartilage from the anterior chest may be used when other available cartilage is insufficient. It provides material and structural support for the tip, bridge and other applications.

  4. 04. Autologous dermis

    Dermis is a skin layer, not cartilage. A dermal graft may be used to add coverage or volume when skin is thin or when an implant is not preferred.

Illustrated donor areas are a general guide. The exact site and amount of tissue are selected for each individual.

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Suited to my face

For your nasal contour, choose DI!

Straight profile

A straight line when viewed from the side

A profile often requested by men

Gently curved profile

A slight curve compared with a straight profile

A contour commonly preferred by women

Curved profile

A more pronounced curve

Upturned profile

An elevated tip with a low bridge

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BULBOUS-NOSE RHINOPLASTY

Who may consider this procedure?

People whose thick tip skin makes the tip poorly defined

People with a thick fat layer at the nasal tip

People with a blunt nose due to excessive scar tissue after previous surgery

People with a high but broad, rounded nasal tip

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BULBOUS-NOSE RHINOPLASTY

Why consider DI?

Individual facial form and features guide surgery tailored to the bulbous nasal shape.

3D-CT is used to examine nasal structures.

Nasal cartilage and internal structure are accurately assessed before surgery.

A thorough aftercare system supports you after surgery.

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CHOSEN BY DI PATIENTS

Using your own cartilage for nasal tip surgery

New-material implants

Artificial implants

Synthetic cartilage materials that may occur inflammation and other adverse effects

Using the patient's own cartilage More natural movement

Integrated autologous cartilage Semi-permanent retention

3D-CT imaging: detailed analysis of nasal form and function. Assessing functional concerns you may not have noticed. 01 Detailed assessment: 3D-CT analysis helps assess nasal bone alignment and structural concerns associated with nasal symptoms. 02 One-to-one planning: a rhinoplasty plan tailored to your individual anatomy and concerns. 03 Informed decisions: detailed assessment and individual planning support informed decisions about surgery.
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Rhinoplasty aftercare

Follow your surgical team’s individual instructions. Recovery and follow-up schedules vary.

  1. 01

    Incision care

    Keep the surgical area dry and clean until stitches are removed. On the day of removal, wash gently with water; use soap from the following day.

  2. 02

    Nasal discharge

    A little bleeding or blood-tinged discharge may occur for 3–4 days. Do not blow your nose; gently wipe away discharge.

  3. 03

    Tape and splint

    Tape helps maintain implant position and limit blood pooling. The splint protects against impact. If it comes off, do not reattach it yourself; contact the clinic and protect your nose.

  4. 04

    Cold and warm compresses

    Use cold compresses for the first 3 days, then warm compresses from day 4, as instructed by your surgical team.

  5. 05

    Swelling and bruising

    Swelling and bruising generally take about 2 weeks to settle. Swelling may temporarily make the nose look uneven, tilted or depressed.

  6. 06

    Glasses

    Avoid glasses and sunglasses for at least one month to prevent pressure that could affect the nasal shape.

  7. 07

    Protect your nose

    Do not blow your nose forcefully or do activities that strain or put pressure on your nose.

  8. 08

    Ear cartilage donor site

    If cartilage was taken from your ear, avoid pulling or pressing the ear firmly.

  9. 09

    Recovery habits

    Avoid alcohol and smoking for one month. Avoid strenuous exercise and excessive stress, which can interfere with recovery.

DI postoperative care instructions

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Tell us the procedure you are interested in, your preferred language and your planned visit dates.

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