How does a nose job fix the end of the nose? 05/08/2012 by Dr. Michael Schwartz Question: I would like to remove a bulge at the end of my nose. It is just at the tip and does not involve my nostrils. How does a nose job fix the end of the nose? Will the extra tissue be cut off? Answer: Depending on what causes the “bulge” the solutions range from reshaping to conservative tissue removal to combinations of the two.