Tip Rhinoplasty refers to shaping of the nasal tip. These can include asymmetry of the tip, droopy tip, hanging columella, bulbous tip, wide tip, M tip etc.
Most tip sculpting procedures are best done through an open (external) approach where the surgeon can three dimensionally see the cartilage frame right before his eyes .I always do by an external open approach.
Having a bulbous tip means it looks like your nose has a ball on the end. This can be due to the shape of the underlying structure, or just thick skin, but regardless of the cause, this nose type looks bottom heavy and draws attention away from the eyes. To refine the tip of the nose, the cartilage is narrowed. Tip Rhinoplasty relies less on removing cartilage and more on strengthening existing cartilage or adding additional cartilage for support in order to improve definition. Other procedures can also be performed to improve breathing like septoplasty and turbinate reduction.
pre and post op picture
Endosnasal Rhinoplasty Pictures: