What does nasal spine reduction involve?

Reducing the nasal spine is also known as a  columellar-plasty. This involves shaving both bone and cartilage from the nasal spine, columella and trimming back skin on both sides of the columella as well.  This can be accomplished with a closed rhinoplasty approach with all the incisions placed on the inside of the nose. For many examples of a columellar plasty, please see  the link below

If there is fullness in this area at the base of the caudal septum, the area can be reduced through a closed approach.Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Nasal spine reduction can be performed through a internal columellar incision. The nasal spine is exposed and can be infractured with an osteotome or completely removed. In general, the nasal spine does not need to be completed resected. In most rhinoplasties, the nasal spine is not addressed. Consult a board certified plastic surgeon with an expertise in rhinoplasty.Best wishes 

Nasal spine reduction can be done from an incision inside the nose or from under the lip. It involves removing the protruding nasal spine bone and sometimes a bit of the septum attached to it.