Many rhinoplasty patients request refinement of the bulbous nasal tip. In the international nomenclature it is also referred to as boxy tip. A bulbous, round nasal tip is a direct result of the shape of the lower lateral cartilages. It is characterized by a broad, rectangular appearance of the tip lobule on basal view.
Rhinoplasty to correct a bulbous, rounded nasal tip is directed at reshaping the lower lateral cartilage to approximate more of a soft triangular appearance. Permanent sutures can be placed through the dome region referenced above to narrow the lower lateral cartilage on each side. The technique used is open rhinoplasty.
Other form is nasal tip bifidity, characterized by a depression of the nasal tip and a separation of nasal cartilages creating a bulbous look.