Tip plasty invoving
*making the tip sharper (By building or shaving off cartiladge on bulbuous noses)
* narrowing the alar base on patients with wide and flat nostrils
* creating a columella where there is technically none
* Correcting a weak tip that moves too much (especially in black and asian patients that have little tip support due to lack of strong cartilage and bone, instead having too much tissue and soft cartilage creating a bulbuous tip)
What's your approach? How would you go about surgically imroving these areas?