Bulbous round tip with no definition - how can I improve this? (Photos)

Based on your photos, you appear to have a nasal tip appearance that sticks out a bit too far, and this is associated with droopiness. I can appreciate wideness, and some asymmetries, on front view. If you have severe dissatisfaction with the appearance of your nose, you should consider meeting with several reputable revision rhinoplasty specialists so you could see what to expect from additional surgery. I do believe that an examination is always necessary to help somebody determine the feasibility of a revision. Wishing you well moving forward. Sincerely, Dr Joseph

It is a very challenging problem to give definition to a bulbous tip with thick sebaceous skin. Even if more cartilage is removed the resulting swelling will lead to more scar tissue and the tip will end up looking the same over time or even worst. It is best to leave it alone.
Regards
Dr. Janjua

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. Fascial grafts may also be used to help improve tip refinement. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon