Hello and thank you for your question. Based on yourphotograph, you may benefit from a tip refining rhinoplasty. Your surgeon canaccomplish this by trimming, suturing, and reshaping the cartilage in yourlower nose. Cartilage grafts may also be used to help improve tip refinement. Make sure you specifically look at before and afterpictures of real patients who have had this surgery performed by your surgeonand not just a computer animation system. The most importantaspect is to find a surgeon you are comfortable with. I recommend that you seekconsultation with a qualified board-certified plastic surgeon who can evaluateyou in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
The condition you've asked about is called a bulbous tip and a tip rhinoplasty is the surgical procedure that reduces the size of the tip. what is done in the procedure is that the excess cartilage is removed and the remaining cartilages are sewn together, narrowing the tip. It is a common and straightforward procedure. Good luck!