Big nose, thick and oily skin, bulbous tip. Any hope? (Photo)

When patients have thick and oily skin, it is important to have realistic expectations on what can and cannot be accomplished with a rhinoplasty procedure.  The bulbous tip can be reduced with suture techniques and a conservative cartilage removal.  The dorsal hump can be shaved down.  Osteotomies placed in the nasal bones can accomplish narrowing of the bridge line.  An alar-plasty can accomplish narrowing wide nostrils.  For more information  and many before and after results of rhinoplasty, please see the video and the link below

Thank you very much for the questions.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, After having analyzed all the info. and photos provided to us, i recommend you perform an Open Full Rhinoplasty, includding narrowing of the nasal base and nostrils, with nasal bones treatment (controled fracture) and alar + triangular nasal cartilages re-shaping.With this procedure you get a delicate nose, better harmonize with your other facial features.Kind regards

Thick skin can make a rhinoplasty more difficult, but that does not mean that the surgery wouldn't improve your appearance. The important thing is for you to have reasonable expectations. I would suggest that you schedule a consultation with a board certified plastic surgeon in your area who can assess you in person and with whom you can then have a honest conversation about exactly what your rhinoplasty would achieve. Kindly,Kouros Azar