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The term "boxy tip defect" typically refers to a specific aesthetic issue with the nasal tip, where the tip appears square or box-like in shape rather than having a more natural, refined contour. The nasal tip lacks a smooth, tapered contour and instead appears angular or square-shaped. It can affect facial harmony and the overall balance of the nose, sometimes contributing to dissatisfaction with nasal appearance. Structural variations in nasal cartilage and skin thickness can also predispose individuals to a boxy tip

Surgical treatments include reshaping the nasal cartilage to achieve a more natural, tapered appearance; adding or reshaping cartilage grafts to provide structural support and refine the tip shape; or using specialized sutures to reshape and refine the nasal tip without the need for additional grafts.