If you have an unusual feature to your nose, such as tip cartilages that are
more prominent than average, you must demand that the plastic surgeon you are
interviewing show you before and after pictures of his patients with similar
features. If you don't see the pictures, you have no idea whether he can
accomplish the changes you want for yourself.
FacialSurgery.com has a page containing my slightly cynical but completely
on finding a competent plastic surgeon.
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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