Rhinoplasty for bulbous nose with thick skin, large pores, and history of acne? (photo)

You're right that your thicker skin is a consideration when it comes to surgery, but it should still be possible to improve the overall appearance of your nose with rhinoplasty.
There are several methods of improving a tip like yours, including cartilage trimming and suture placement. if you want it is also possible to address your bridge bump as well.
You can read more about bulbous tip rhinoplasty at my web reference link below. It also includes some before and after photo examples of how a bulbous tip can be improved.

Thank you for the question and your photos, and congratulations on making the decision to move forward with nose surgery. Thick skin can make improvements in the contour of the nose a bit less obvious -- this is because the changes that are made in the bone and cartilage framework remain somewhat hidden by the skin "blanket." However, during the procedure, the skin thickness over the tip can be slightly reduced from the inside. In terms of the pore size and acne breakouts, the nose surgery will not address these issues. Other treatments can be used, however, including facial peels and laser. Best of luck moving forward!#San Francisco Rhinoplasty

You seem to have done your research and have the understanding that thicker skin of the nose, especially the tip of the nose, can affect outcome the degree of tip refinement you can get with nose surgery. However, the other factor is the quality and firmness of your tip cartilages and how well they can be reshaped. Looking at your photos, you seem to be a good candidate for nose refinement surgery. The best starting point is to be evaluated by a board certified surgeon who does many nose surgeries a year. A rhinoplasty specialist. You will find that you will get answers to many of your questions and can have realistic expectations while planning your surgery. For now, it seems that you are doing everything that you can. The consultation should be your next step. You may have to drive a little ways from where you are to be able to be seen by an experienced nose surgeon.

Rhinoplasty for the bulbous tip,hump, etc. in patient with large pores and history of acne. Removal of your home along with cartilage crafting of the mid nose and the edge of your nostrils is needed to prevent a pinch tip. The cartilage will come from your septum and be done in such a way as to create a natural looking nose without creating a pinch tip.

Your tip can be refined nicely and you can have a natural improvement in your nose. The skin may play a role in the level of refinement possible, but I think that the surgery would be worth pursuing. Find a plastic surgeon with ELITE credentials who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA