A bulbous nose is something that can be corrected surgically through a rhinoplasty procedure. This is often a combination of subtle changes to remove excess cartilage, sculpt cartilage and pull existing cartilages closer together. Sometimes grafting is performed to give the tip of the nose more elevation. Done well, this procedure looks quite natural. Besides proper planning, the key to getting a natural rhinoplasty result is to engage an experienced surgeon - one who is well versed in the necessities of facial balance. It’s important that, when surgery is complete, the patient still looks like him or herself, not someone else. I use computer imaging during my consultation to make sure that patients are comfortable with the possible changes and, at the same time, still feel like they’re looking at photos of themselves - the best versions of themselves.