The nasal septum is the wall that divides the inside of the nose into a left
airway and a right airway. When the septum doesn't sit in the middle, it
can obstruct airflow through the nose instead of guiding the airflow. We
then call it a "deviated septum," and that deviated or crooked septum
can be straightened during a rhinoplasty.
Most commonly, the deviation of the septum cannot be seen from the outside of
the nose. The deviation that obstructs the airflow is deeper inside the
nose, where you can't see it. This patient's septum was so bad that you
could see it before surgery.
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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