What is the simplest way to reduce the roundness of my bulbous nose? Is it just a matter of taking out some fat? Maybe Kybella?

Hello,Thank you for your question. Rhinoplasty is one of the most challenging procedures in plastic surgery, and tip plasty is its most difficult aspect. The lower lateral cartilage is (LLC) is the primary structure that is responsible for the shape and function of the ala. I have developed a Novel Technique which is called as Superior-Based Transposition Flap to reshape, relocalize and reinforce the LLC as a support material for both internal and external valves with aesthetic corrections, leaving the scroll area untouched. I use suturing techniques to achieve a narrower, refined and aesthetically pleasing tip. 
Comparing to the open rhinoplasty Closed and Atraumatic technique in Rhinoplasty minimizes swelling and bruises; maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more before and after pictures please click on the attached link.

Best Regards

It is difficult to provide much advice without photos, but often times a tip rhinoplasty is indicated.  I recommend you schedule a consultation with a board certified plastic surgeon for further advice.  Best of luck.

It is difficult to advise you without a few photos, but I can tell you that a bulbous nose is usually addressed using surgical rhinoplasty. This procedure can be customized to the precise needs and proportions of each patient. Keep in mind that rhinoplasty is one of the most complex of all plastic surgery procedures. I recommend working with a board-certified plastic surgeon who has extensive experience in nose reshaping. Ask to see many before and after photos of previous patients so you know what you can expect from your own procedure.