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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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Two cartilages form the tip of the nose, a left tip cartilage and a right cartilage.  In the before picture, you can see the depression, or dent, between her two tip cartilages.  They are quite prominent, and decreasing their strength was an integral part of obtaining this result.

If you don't mind looking at photos taken during surgery, the first chapter of the rhinoplasty surgery tutorial gives a good introduction to the anatomy of the tip cartilages,


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current: Right oblique
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
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Questioner: How Do You Fix a Nose with a Bulbous Tip?
How exactly is excess tissue removed from the tip of the nose?
(Questioner submitted photos)

Dr. Denenberg's answer: By modifying the cartilages in the tip, not so much by removing them!
Hi,
The tip cartilages are very thin, but they are arched, and if the arches are wider, then then the tip will look wider. There are various ways to change the position and shape of the cartilages to narrow the tip.

The Web reference link below goes to the first page of an essay I wrote on narrowing the tip of the nose. Careful, though, because there are photos taken during surgery, although not on the very first page of the essay.

Link to this question on RealSelf.com