Limits to Rhinoplasty?

In general, a rhinoplasty can address all of the areas you described in one procedure, and in fact, it is usually the best way to get the nicest result. The limits of the procedure are determined by the patient's anatomy and the degree to which any one area can be altered-- in other words, for example, we can narrow the nose, but only to a point, otherwise it will look too unnatural or will cause you breathing problems.
Good luck and hope that helps,
Dr. S

There are some intangible limits with the amount of change that can occur with a rhinoplasty. The length of the nose can be changed, the width of the nose can be narrowed or widened; there are different tip techniques that can be performed, the bridge can be altered, and the nostril size can be reduced. All of this can be done at the same time with a single rhinoplasty procedure. It is very important to make sure that the nose balances with itself and other facial features. It is impossible to take a very large nose and make it into a very small nose and still have it look well defined, balanced, and match with a person’s face.

The best rhinoplasty is one that produces a nose that is proportional and in balance and harmony with the other facial features. This can involve addressing all areas of the nose including: the dorsum (bridge), the boney vault, the tip, and the alar (nostril) base. Not all rhinoplasty patient need to have adjustment to each and every part of the nose -- this is something that needs to be evaluated on a case-by-case basis.
Ideally, rhinoplasty is a one time operation -- patient's should not need a second surgery or a touch up if the first one is performed correctly. [ The exception to this is complex secondary (revision) rhinoplasty or nasal reconstruction in which the procedure is planned in several stages. These are unusual cases and doesnt apply to the vast majority of primary (first-time) nose jobs.
There are, however, limitations to what rhinoplasty can accomplish. For instance, very large noses or noses with very thick skin can be made somewhat smaller; but in order for the nose to have any shape, the skin must fit tighly around the newly constructed framework. The converse is true for small noses -- the nose can be made larger, but only to the extent that the skin will accomodate the framework.