The best way to slim a bulbous nose? (Photos)

It does appear from your photographs that your nose has a bulbous appearance. The procedure to correct that involves examining your cartilages underneath and reducing the width by bringing the two cartilages together and removing the excess cartilage that may be present. Sometime a graft may also be required from the removed cartilage to further elevate and "tent" up the tip region to make it appear more narrow. I would recommend a consultation with a facial plastic surgeon in your area.

Click on the "Web reference" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_katiesxtn.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.Mostly, I narrowed those tip cartilages. When they get narrow, they don't appear as wide, but also, they don't seem to stand out separately from the rest of the nose, too. You tend to lose the shadow between the bridge of the nose and the prominent tip cartilages.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon. 
I'd love to hear what you think of the morph. Did it seem to address your main concern?
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.
In your case in particular, you need to find a surgeon who understands all of the issues I mentioned, and how they fit together, and who can actually accomplish them in surgery. You don't want to be looking for a revision later, to get the tip smaller yet.

Hello and thank you for your question.  Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon

Thick tip skin as well as overly soft bulky cartilage can create a bulbous tip. A combination of precisely placed tip cartilage grafts along with a minimal amount of cartilage removed, can artistically re-contour the tip into a more pleasing smaller feminine shape. The thick skin can typically be safely thinned during a closed rhinoplasty with minimum swelling and rapid healing. The quick healing process occurs mainly because the technique is closed scar free rhinoplasty. The most important thing to remember is that although improvement will be seen immediately after surgery it will take a full year for the nose to shrink to its smallest size. See the dramatic nature of the procedure in the included video, taken one year after closed rhinoplasty surgery.

Thick skin in the tip of the nose prevents refinement in that area.  To narrow  a bulbous nasal tip require suture techniques and a conservative cartilage removal.  For more information, diagrams, and many before and after examples, please see the link and the video below

Dear katiesxtn,Your nasal tip is indeed bulbous and would benefit from a tip rhinoplasty with trimming and shaping of the nasal tip cartilages using fairly standardized techniques.  Most surgeons would welcome the chance to improve your tip aesthetics.  Good luck!

It looks like you might benefit from a tip rhinoplasty.  Your thick soft tissues may limit some of the refinement.

Thanks for your post and photos. You appear to be an excellent candidate to consider primary rhinoplasty to enhance the shape and appearance of your nose. Surgery involves an outpatient procedure and I prefer an open approach rhinoplasty with general anesthesia. The flimsy cartilages can be modified, shaped and re-supported with cartilage grafts to achieve your desired nose. Sometimes additional modifications to the alar base or nose are recommended at the time of consultation. Visit with an experienced Facial Plastic Surgeon who regularly performs rhinoplasty and ask to see some actual patient results. Congratulations on researching your options. Best regards. 

Hello Katiesxtn, thank you for providing photos along with your question. After reviewing your concerns alongside your pictures, I think you are a great candidate for rhinoplasty and would benefit from tip refinement. Because a physical examination is the best possible way to evaluate a patient, I encourage you to visit a board certified facial plastic surgeon for a consultations to discuss your concerns and expectations with them. Good luck! 

Thank you for the question and photos.  The traditional way of reducing a "bulbous" nasal tip is to remove cartilage from the area.  This can be a great way to accomplish "slimming" of the nose for some patients but not every patient is so straight forward.  Sometimes removal of the cartilage can change how the nostril look and can change the position and shape of the nasal tip in unwanted ways. This is because the cartilage that is creating the "bulbous" feature is also providing support for the nose.  Proper identification of these supporting structures and careful repositioning of the cartilages with or without removal of cartilage is often the best way to address this issue.  To do so, please consult with board certified plastics surgeons whose before and after photos you like, who have a substantial practice involving rhinoplasty, and whose before and after photos you like.All the best,Dr. Remus Repta