She had strong tip cartilages that were not softened during her first
operation. In this view, you can see a hint of the prominence of those
cartilages in the bulge at the tip and the small dent in the middle of her tip.
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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