In this view you can see the excess width of both sides of the tip of her
nose. Changing the shape of the tip of the nose is one of the more
demanding parts of a rhinoplasty. You can't just carve a new tip, as out
of a block of clay. You must work with the thin leaves of these tip
cartilages, and cajole them into a more pleasing shape.
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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