What causes bulbous noses? What procedure do I need to fix my bulbous nose? How bad would rate this imperfection?

The tip is not very large and bulbous.  I would not recommend any intervention.RegardsDr. J

Thank you for your question.  Having a bulbous tip (tip boss) is a fairly common issue I see in my practice.  I perform roughly 4-6 rhinoplasties per month and see this all the time.  The lower cartilage that defines the tip has splaying between the cartilages giving more of a squared appearance.  Without having any profile pictures, I cannot tell you how to rotate the nose.  You do not seem to have a lot to do with improvement to the nose.  Please make sure that you are consulting with a double board certified Facial Plastic Surgeon

Thank you for your pictures.  In your case, I would say that you are lacking tip definition more than anything.  It also looks as though you could improve the rotation of your tip just a hair, to give a little more shadow and what we call a "supra tip break".  There are a variety of reasons why people have bulbous noses - more commonly its either poorly defined cartilages, and sometimes it can be due to thick, sebaceous skin. But those are just two of the most common reasons.  A full in person eval is needed to be able to ascertain what is possible and doable, to be honest.  I hope some of this helps! Best of luck.