How can my double (bulbous) nasal tip be corrected? (photos)

Hello,I recommend finding a board certified facial plastic surgeon that does the closed rhinoplasty technique. This technique performs refinement of the nasal tip through a scarless approach using endonasal techniques to size, shape and positioning of the nasal tip cartilages.. By doing subtle refinements we are able to finesse the sculpt the nose to match your face perfectly.  By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling.All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

A widened tip is a common request for reduction rhinoplasty. a combination of conservative cartledge excision and sutures to narrow and have the domes joined will reduce this widened cleft appearance.

The anterior septum in your photo may be slightly deviated to your right. If it causes breathing problems it may be worthwhile having this repaired. As for your tip , the two points that define your tip are called the domes. Yours are separated slightly but are quite normal. This in unrelated to your nasal septum  It is possible to bring the two domes closer together to give a less square or boxy appearance. This can be done with either a closed or open approach Rhinoplasty and can be done at the same time as a septoplasty.Good luck 

A septoplasty is a typical way to straighten out a crooked septum. You'd need to have your surgeon examine inside your nose to see if you're a candidate and make sure nothing else needs to be done.I think the double dip you are referring to on your nose is what is termed a bifid tip. This is found in people when the nasal tip cartilages are a bit more spaced apart and and when the nasal tip skin is thin enough to see these underlying cartilages.This issue is separate from your septum but can be corrected with rhinoplasty surgery. I normally do this via an open approach to allow for maximal consistency and symmetry.You can read more about nasal tip surgery (and see some before and after photos) at my web reference link below. 

   The gap at the tip can be closed and the septum altered at the same time with a closed procedure.Kenneth Hughes, MDLos Angeles, CA

Bulbous bifid tip corrected by rhinoplasty as well as deviated septum if you choose an experienced rhinoplasty surgeon who does natural looking noses.

. The lower lateral cartilagesAre slightly too far apart and the lateral wings of the structures can be reshaped and pruned for better appearance of the nasal tip.

The tip cartilages are too widely separated creating that "double" nasal tip look. This can be addressed by bringing those cartilage closer together. You want a surgeon who will avoid a too aggressive approach which can result in a uni-tip deformity where the separation between the tip cartilages is completely removed and an excessively pointy tip without any refinement is created. Your breathing issues and septal deviation can also be addressed during the same procedure. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

These are separate independent issue as you surmised. While the tip can be done through a closed approach, my preference in you would be open to have much more precise control of the result. The tip cartilages can be very unforgiving of small asymmetries.

There are many issues inside the nose that can cause breathing problems such as a deviated septum, turbinate hypertrophy, valve collapse,  allergies and chronic sinusitis. Each one of these issues are treated differently with either surgery or medications. A septoplasty can be performed to straighten the septum when it is deviated and blocking air flow. A tip rhinoplasty is performed to narrow and refine the bulbous tip with suture techniques applied to the lower lateral cartilages. This will help with the "double tip" appearance. Also important to make any other adjustments to the bridge to make sure the Bridge balances with the new nasal tip. A septoplasty and a rhinoplasty are 2 completely separate procedures, but can be both performed at the same time under one anesthetic. Both procedures can be performed through a closed rhinoplasty techniques. For many examples, please see our closed rhinoplasty photo Gallery Link below