I think the cartilage appears to be misshapen and uneven. What's Wrong with my Nose? (photo)

Rhinoplasty for the bulbous tip and bump, etc. involves removing your bump and  making your bifid tip into a less square box shape into a triangular shape. The tip will need a soft tissue covering since your thin skin will show the cartilage underneath if it is not softened. See a very experienced rhinoplasty surgeon to avoid having to have a revision.

Hi, you are correct in your own assessment. The shape and appearance of your nasal tip is based on the lower nasal cartilages. You have a "boxy" nasal tip formed by a prominent and divergent lower cartilage. This is more apparent because you also have relative thin skin. The solution is tip rhinoplasty which can help you reshape your nose. Seek a board certified plastic surgeon to help achieve your goal.

Best Wishes,

Stewart Wang, MD FACS, Wang Plastic Surgery

The pictures that are present show asymmetry of the lower lateral cartilages of the tip.  The reason that tip cartilages are showing irregularity is due to very thin skin in the tip area.  This can be addressed through a rhinoplasty that involves the removal of a portion of the tip cartilage, sewing the tip cartilage together in the tip area, and reducing the bossa formation and squareness of the tip.  Once this portion of the surgery has been performed, it is important to balance the remainder of the nose to the new tip.