This rhinoplasty succeeded in greatly decreasing the length of this
nose. When a nose is made smaller, the skin has to "shrink-wrap"
to fit the new framework of the nose, and it usually shrinks up just fine.
This nose was shortened by almost two-thirds of an inch, and the skin responded
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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