One of the advantages of using an artificial material to build up the nose
(as I did here) is
its easy availability: just unwrap the package. Many plastic surgeons like
to use the patient's own cartilage to augment a nose like this. Frequently,
however, a nose that
has been injured has broken and injured cartilage inside, which might make that
cartilage unavailable for the task of augmenting the nose.
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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.
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