One of the more common reasons patients seek out rhinoplasty surgery, is to improve the boxy or bulbous tip of their nose. One of the most powerful ways to improve the tip of the nose is with an open rhinoplasty procedure, for exposure to the nasal tip.
The nasal tip is composed of two cartilages, the lower lateral cartilages. In patients who have a bulbous tip, the lower lateral cartilages are in excess and have broad convex domes. To give the tip of the nose more definition, some of the lower lateral cartilage needs to be removed, and the remaining cartilage is sutured to contour the appearance.