Large nasal spine/caudal septum cartilage? What can be done? (photos)

Well I have to say first... I like your nose. Yes, I'd recommend making a smaller version- lowering the dorsum and removing some of the cartilage underneath, but your nose is basically pretty good. I'd say to you... don't let anybody change it too much! Good luck.

You diagnosis appears to be accurate.  During rhinoplasty this excess tissue can be reduced by removing some of the bone of the nasal spine and some of the cartilage of the caudal septum.  The tissues ends up relaxing into the void and makes the fullness in that better, not perfect, but better.  It this works even better if the entire nose is deprojected some.  Most noses need this maneuver anyhow.  I think you would be happy ultimately with what you can achieve.  I am in Austin, not too far away.

Hi Troy, From your fotos i think the problem may actually be that the bridge of your nose is too high and this pulls your lip up and gives the appearance that the nasal spine is too big. At a consultation your exam will help to determine the exact cause and its correction. caution needs to be taken when resecting part of the nasal spine to avoid making the angle too deep.

A rhinoplasty procedure can address shaving down the nasal spine and trimming back the caudal septum. This is also known as a columella-plasty for a hanging columella. This is usually performed at the same time as the rhinoplasty procedure. For many before and after examples, please see the link and the video below

It certainly looks like your anterior nasal spin and septum are contributing to the issue you are concerned about. A small resection of this are should resolve your issue.