This darker oblique view shows the hump, the excess width of the tip
cartilages, and a small irregularity along her columella.
The rhinoplasty tutorial contains a chapter
that describes how the tip cartilages are narrowed during the
operation (the surgery tutorials contain explicit photographs taken during surgery).
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Can rhinoplasty fix my narrow and long nose?
How extensive of a procedure will it take to correct my nose? What options are there as far as shaping out there for me? What shape would compliment my facial structure?
(Questioner submitted photos)
Dr. Denenberg's answer: You are a somewhat typical candidate for a rhinoplasty
The operation wouldn't be more extensive than an "average" rhinoplasty, although I consider all rhinoplasties fairly "extensive."
I think most people, if they had your nose and were of a mind to change it, would consider lowering the bump on the bridge, narrowing the tip a small amount, elevating the tip up a small amount, and deprojecting the tip -- that is, bringing the entire nose back closer to your face.
Link to this question on RealSelf.com