How Nose Tip Reduction is Done?

Reducing the projection of the tip as accomplished through multiple different techniques including dorsal septal reduction of the hump, nasal spine, and suture techniques to decrease the overall projection of the nose. Cartilage is sometimes removed as well. Please see the link below for videos and diagrams all about rhinoplasty techniques and procedures.

In more than 35 years of rhinoplasty I have never had a patient have necrosis. Tip reduction involves what is making the tip large such as cartilage and soft tissue but more importantly not creating a bad result such as pinched tip ,etc. 

          The lower lateral cartilages can be reduced if appropriate.  The cartilage components can be brought closer together with sutures.  The cartilages can be further shaped with sutures.  The fibrofatty layer can be reduced as well.  I typically try to avoid cartilage grafts due to long term problems with tissue thinning and skin compromise as well as visibility and palpability.  I have never observed skin necrosis of any sort.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA