My nose tip is bulbous and downturned, like there's too much skin. Options to tighten skin? (photo)

Hi,This is due to sebaceous hyperplasia, a condition marked by the enlargement of sebaceous glands. Any procedure that focuses on reducing the glands, should provide improvement.
One option is to do mesotherapy with neuromodulators (botox, dysport). This works by reducing the nerve signaling to the glands that produce more sebum, therefore, shrinking them.
Another treatment option is RF microneedling - where the needles are inserted in the skin and the heat emitted causes a reduction in these glands.
As far as your tip projection, you can also use neuromodulators to relax the muscle that attaches the tip of the nose to the lip. As this muscle is relaxed it tends to give you a bit more elevation of the tip.

Unfortunately, there are no techniques to tighten somebody's nasal skin, or to decrease the thickness of somebody's nasal skin. Based on what you are looking to achieve, by pulling the skin of your upper bridge upward, you may indeed be a candidate for rhinoplasty surgery to achieve a less droopy, narrower, and less distracting nasal appearance. I hope this helps. Sincerely Dr Joseph

If you’re looking to refine the shape of your nose tip without surgery or fillers, there are a few options to consider:

Radiofrequency (RF) Skin Tightening: Treatments like Morpheus8 or Thermage can help tighten the skin and improve mild sagging over time by stimulating collagen production.
Ultrasound Skin Tightening: Ultherapy uses ultrasound energy to lift and tighten skin, though results may be subtle in the nose area.
Botox for Tip Lift: A small amount of Botox injected into the depressor septi nasi muscle can subtly lift a downturned nose tip.
Thread Lifts: PDO threads can provide a temporary lift to the nose tip without surgery, though results vary.
Skincare & Resurfacing Treatments: Retinoids, chemical peels, or laser resurfacing may help improve skin texture and firmness, though they won’t drastically change the shape.
Since you’re concerned about pigmentation, it’s best to consult with a dermatologist or aesthetic specialist to find the safest option for your skin type.

If you feel your nose is too wide, a non- surgical rhinoplasty (NSR) in combination with Morpheus may be just the right solution for you. Adding filler to the top dorsum part of the nose gives it more definition. Combine that with Morpheus to the alar nostrils of the nose can create the perfect results towards a narrower more defined nose.