The bulbous tip is created by wide and thick lower lateral cartilages of the nasal tip. To refine the bulbous tip, suture techniques are applied to the lower lateral cartilages, and sometimes a conservative cartilage removal is also performed as well. Osteotomies of the nasal bones are performed to narrow the bridge line. For many examples of how we have narrowed a wide nose, please see the link below
The bridge and tip can be refined with a closed rhinoplasty and no visible scars with less downtime.
Kenneth Hughes, MD
Los Angeles, CA
Many thanks for the question.Although its the tip that you hate but a good plastic surgeon would like to do more for you.The issue is not just tip although this is the worst part.More definition and refinement for the tip is sure that you need but your dorsum needs to match with the refined tip which at present is not high enough and not defined enough.
I am sure your will find the right one in your home country.
Overall, the shape of your nose is attractive. However, especially on the frontal view, your nose could benefit from more refinement and definition. In addition to further defining the tip, the mid and upper aspects of the nose could also be more defined. The dorsal aesthetic lines (the lines that start at the central aspect of the eyebrows, follow along down the bridge, and end at the tip) are poorly defined and slightly wide. Enhancing definition of these and slight narrowing would improve the appearance of your bridge (dorsum). The transition point between your cheek and the nose also could be slightly narrowed to improve the overall appearance of the mid and upper aspects of your nose.
If you have been considering rhinoplasty for several years now, you would benefit from consultation with a board certified plastic surgeon to see what options might benefit you.