Along the dorsum, you can see parallel vertical white lines that are the reflections of the
flashes. The linear reflections are prominent, and a bit crooked; they softened and
straightened after the hump was removed.
Look at the tip of her nose. In the after picture, there are two white
dots, also reflections from the flashes. The white dots are small and symmetric, closer
together than in the before picture, more distinct than in the before picture,
and positioned higher above the nostrils than in the before picture. Those
findings are our indications that the tip of the nose was narrowed and elevated
during the operation. Also, we get to see just a little bit more of her
nostrils after surgery, another indication that the tip of the nose was
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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