How to correct a bulbous nasal tip in open external rhinoplasty?
A bulbous nasal tip which is caused by enlarged cartilage is best improved by a combination of removing some cartilage and using suture techniques to create a better shape. Sometimes a nasal tip looks wide because it lacks projection and placing a cartilage graft can both improve the projection and create a tip that looks more narrow and triangular. Sometimes the tip skin is thick, and this can be carefully thinned down to help the overall shape.
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