Is it possible to contour my asymmetrical, bulbous nose tip (and make my nostrils smaller too)? (photo)

hello thank you for your question and provided information as well.. based in your question and the picture you showed you are a good candidate for rhinoplasty with technique open with refined the tip. and elevate the tip.

It's possible to treat a bulbous asymmetrical nose tip, using open rhinoplasty, in my experience.  The cause is usually the natural shape of your subcutaneous tissue and cartilages - that's what rhinoplasty treats.  Experience and a good aesthetic eye is critical for success in these procedures.Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

Your nose could be improved with rhinoplasty, which would give permanent improvements in symmetry and shape as well as the tip. You can bring the pictures that you think would be flattering to your face and these can be discussed.  It takes special interest and study to understand the facial aesthetics to create a nose that is harmonious with your other features. Take the time to find the right facial plastic surgeon and ask them to create digital images of the nose they propose for you and discuss the cost.
Hope this helps.
 

I would recommend starting with a consultation with a board certified facial plastic surgeon that specializes in rhinoplasty surgery to discuss if rhinoplasty can address your concerns. 
I would recommend writing down the following questions before scheduling your consultation:
1. Are you unhappy with the tip of your nose? 
2. Do you feel that your nose is too wide? 
3. Do you want to make your nostrils smaller in appearance? 
4. Are you looking to decrease the general size of your nose?
I hope some of these questions will help you pinpoint what it is that you don't like about your nose.  Cost will vary due to various factors like anesthesia fees, facilities fees, etc. I wish you the best as you research your options when scheduling a rhinoplasty consultation.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

Deat brittbuggs,A rhinoplasty can help you achieve your dream nose (or very close to it)Asymmetric tip cartilages (usually you were born that way) causes the asymmetric tip and can be adjusted at the time of surgeryNo 2 noses are alike, so it will be difficult to find the exact B&A of a nose like yours, but bulbous tip rhinoplasty is not rare.  You can expect the tip to be smaller and more symmetric (although it may not be perfectly symmetric)You can also make the nose smaller from the side view and reduce the nostrils slightlyWhen you are ready, see if you can find a rhinoplasty specialist who regularly performs this surgeryBest,
Dr. Nima
Member, American Academy of Facial Plastic and Reconstructive Surgery
Board Certified Facial Plastic Surgeon
Board Certified in Head and Neck Surgery

Hello and thank you for your question. Based on your
photograph, you have a bulbous tip with an overly projecting nasal tip.  An operative plan for your rhinoplasty could include nasal tip refinement to narrow your tip and a nasal tip deprojection to shorten the overall length of your nose and nostrils.  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.  You should be able to
view numerous pictures of actual patients with noses similar to yours performed
by your surgeon. 
Best wishes and good luck.
Richard G. Reish, M.D. FACS
Harvard-trained plastic surgeon

Correcting the bulbous tip is one of the most predictable parts of rhinoplasty, specially on patients with normal or thin nose skin. Most nose tips are asymmetric which can be corrected at the same time. Your nose shifts to the right and that can be straightened.

From your limited photos- you appear to be a good candidate for Rhinoplasty- preferably through a closed technique. It's one of the most challenging operations, therefore has to be performed by an experienced Rhinoplasty Expert. I suggest you consult with an experienced Board Certified PS

Hello!
Thank you for your picture and question!Based on the pictures you have submitted It does appear that you would be a great candidate for a Closed Scarless Rhinoplasty.A closed rhinoplasty procedure is the best option for someone who is looking for a refinement of the nose.  I recommend going to a Plastic Surgeon that specializes in closed scarless rhinoplasty (preferred by actresses and celebrities) because there is no risk of external scarring and much less healing and recovery time. Closed rhinoplasty enables you to have flash recovery with very minimal bruising if at all. You will only have to wear a cast for 5-7 days, no one will know you had anything done. All the incisions are made from inside the nose. The goal is to finesse and enhance the nose without drastic change. It still looks like it is your nose just more refined without looking fake. Meaningful refinement is the key!  All the same surgical maneuvers your nose requires can be performed with a skilled closed scarless surgeon. 
Best of luck, 
Deepak Dugar MD
ScarlessNose Institute of Beverly Hills 

The nasal tip is made of skin, subcutaneous tissue and cartilage.  Any of the above structures can be responsible for tip asymmetry and bulbousness.  From your pictures it appears to be a combination of tip cartilage asymmetry and thick skin.  Both of these issues can be addressed with open rhinoplasty.  The reason I would recommend open vs endonasal (closed) is that the open approach allows for improved ability to address asymmetries with attention to detail.  You appear to be a good candidate for this surgery.