Will revision rhinoplasty make a bulbous tip smaller?

Many of my Houston revision rhinoplasty patients and revision ethnic rhinoplasty patients have thick nasal tip skin and desire a more refined nasal tip and narrower nose.  

With revision rhinoplasty, the tip in a normal thickness skin patient is difficult to refine, let alone one with thick skin.  Cartilage grafting, sculpting the cartilage, and thinning…