The base view is often the best view to illustrate a sideways deflection of
the nose. If you were to put your finger on his nose where it starts
between his eyes and run your finger down the length of his nose, your finger
would be quite far off to his left by the time you got to the tip.
The broken cartilages that are dragging his dorsum off to the left also
drag the base of his nose and his nostrils off to the left in the before
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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!
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