Thanks for your question and photos. For refining the tip of the nose, either a closed or open (my preferred method to get maximum control of symmetry) tip rhinoplasty can be performed which refines the bulbous area with minimal scarring. An open technique allows better visualization and control of the paired cartilages which act in conjunction to define your tip shape and symmetry. The ability to see both cartilages simultaneously and work on them together allows the surgeon ultimate control over both the shape and symmetry and, of course, beauty of the nose. Cost for rhinoplasty including the fee for the surgeon, surgical facility, anesthesia, and post operative care will depend on the city and surgeon. With that said it's best to set up a few consultations with different surgeons and make an informed decision based on their experience and speciality in the field. View their before and after photos to see what the outcome could potentially be.