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 I get rhinoplasty for bulbous tip and mid nose?
I am looking to get rhynoplasty done on my entire nose. Not only is the tip bulbous, but the cartilage/nasal bone is wide and pushing outwards. Please see the pictures attached. The cartilage/nasal bone creates a bump as I'm looking sideways at an angle, and overall both pictures look better than in person. I also have quite a long midface and was wondering if there are any procedures to make this look better based on work for the nose.
(Questioner submitted photos)
Dr. Denenberg's answer: Improvements can be made in a wide nose
Yes, it looks as though the cartilages in the tip of your nose are wider than they need to be, and the other issue you identified, the width of the bones and the cartilages in the upper part of your nose, often happens with a wide tip. See the attached video and the Web reference link for some examples of what can be done in the right hands.
Your midface is fine. Anyway, your nose is short on that midface, and there's nothing we can do about the length of the midface anyway, except where it's so long as to be a true deformity.
Link to this question on RealSelf.com