A hump that resides in a typical position, such as this one, is partly made
out of bone and partly made out of cartilage. Removing the hump involves
using a file on the bone and carving down the excess cartilage.
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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