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
of the rhinoplasty surgery tutorial gives a good introduction to the anatomy of
the tip cartilages,
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Can a Bulbous Nose Be Reduced Without Looking Weird or Changing Your Look
(Questioner submitted photos)
Dr. Denenberg's answer: Of course a bulbous nose tip can be reduced
Advanced work on the tip of the nose during a rhinoplasty is routine for plastic surgeons who have the training and experience.
It goes without saying that you should see before and after photos of the surgeon whom you are considering using. And don't just look at profile views where perhaps a hump was taken down off the nasal bridge. It's the three-quarter views, or the oblique views, that best show the width and the prominence of the tip of the nose.
Link to this question on RealSelf.com