What Can Be Done for a Thick and Round Nose Tip? (photo)

Your tip is slightly over-rotated and deprojected, two common characteristics of an "Asian nose". To address this, projecting the tip forward using caudal septal extension grafts and possible strengthening the tip with lateral struts will help. 
Certainly the bridge should be addressed as well using diced cartilage for augmentation. Good luck

Evening, refining your nasal tip is very practical but there's always a limit.  Your nasal work can be done endonasally with no external incision.  A physical exam is always needed to give you the most detailed information but here's general info about what your nose would benefit from:

1.  For the tip you can make it more refined or narrow with what's call "cephalic trim" of your lower lateral cartilages.  This allows the tip to narrow without it looking too pinched.  

2.  The bridge, or dorsum, can be made more defined with better height with an implant, rib cartilage, or ear cartilage.  I don't use the crushed cartilage in fascia that often.  I feel a solid piece of cartilage is more robust and maintains it's volume.  Cartilage from the ear does well if you have enough to give and you'd be surprised how much you have to offer.  Rib would work well in you but might be overkill.  Implants for the dorsum alone do well also when sized properly.  Risk of infection's a bit higher but still minimal.  A fourth, and to some less attractive option, is irradiated donor cartilage.  This also works well but it's ability to maintain it's volume is a tad unpredictable.

In any case, particuarly with your tip, be patient post op.  It will take a good 3 to 4 weeks for the swelling to go down to the point that you'll look more defined.  Your down time is only about 7 days.

 

Hope that helps.

Chase Lay, MD