Does a Pinched Valve/narrow Mid Vault and Bulbous Tip Obstruct Airflow, and Can This Be Fixed by a Septoplasty? (photo)

We can discuss the causes of anatomic airway obstruction at length. But ONLY intra nasal IN PERSON examination allows definitive diagnosis. Best to see a boarded surgeon in your city. BTW bulbous tip does not add to air way obstruction. 

There are multiple issues that can cause nasal obstruction  from the internal portion of the nose, and these include a deviated nasal septum, unilateral or bilateral valve collapse, turbinate hypertrophy  and a nasal fracture.  A bulbous tip does not  impair breathing and is only reduced for cosmetic purposes.  When an hourglass nose is present, many times there is a valve collapse issue and spreader grafts are required to open up the nasal valve. Spreader grafts are usually composed of the patient's own cartilage harvested from inside the nose. Virtual rhinoplasty software is available on our website for you to try.