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Are you a candidate for Rhinoplasty? One of the main functions of a rhinoplasty is to reduce the width of a bulbous tip. Another function is to reduce the width of a wide bridge. If a person has a wide nose but an already excellent profile, the profile can be left alone and the changes directed toward the width which is apparent in the front view.
Thank you for providing images along with your question. The pointy bump you are concerned about may be cartilage or bone. To know for sure, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty...
If you could benefit from a rhinoplasty I’m sure you can find a surgeon who will take care of you. But every case is different. You mention body dysmorphia but that is a very vague statement
It can be done with only tipplasty with closed approach if you want natural result. I agree with you about hanging columella is the most problem of your nose