Reshaping the upper portion of the nose (aka the bridge or dorsum) involves alterations in the bone and cartilage. When reducing a bump, we can shave the bone and cartilage components down. When needed, we can elevate the dorsum with the use of cartilage grafts or implants. Reshaping the nasal tip requires alterations of the cartilage responsible for the external appearance of the tip. Depending on the desired outcome, we can alter the tip by removing excess cartilage responsible for a wide-appearing tip. Suturing the existing cartilage to change its shape and adding cartilage to strengthen other areas creates a more defined nasal tip.