I think that the tip can be refined along with the bridge and the alar base to get a natural result with a closed rhinoplasty approach.
Kenneth Hughes, MD
Los Angeles, CA
The bulbous tip can be addressed in ethnic rhinoplasty with suture techniques applied to the lower lateral cartilages. This will narrow and refine the width of the nasal tip. An alar plasty can narrow wide nostrils. The bridge line can be narrowed and straightened with osteotomies applied to the nasal bones. For many examples, please see the link below
We often actually need to ADD structure and support to noses like yours rather than remove structure and support. Typically your own nasal cartilage is not strong enough or of enough volume to provide adequate material for this so we often resort to grafts from the ear or even the rib. You should be able to learn more during a consultation from a rhinoplasty specialist.