Is this type of nose hard to work on? (caucasian bulbous nose?) (Photo)

   Tip and bridge refinement are two very common requests.  An experienced plastic surgeon should have little difficulty improving your nose.Kenneth Hughes, MDLos Angeles, CA

No two noses are alike,  so it is very difficult to give someone else's nose to you. The bulbous tip is addressed with a tip rhinoplasty which can include cartilage removal and suture techniques to the lower lateral cartilages.  The hump is composed of both bone and cartilage must be shaved down when present. Osteotomies of the nasal bones are required to narrowed them. When there is an hourglass deformity in the mid third of the nose, spreader grafts are placed to prevent collapse. For many examples, please see the link below

Only an in person conultation with an experienced BOard Certified Plastic Surgeon is appropriate to accurately assess this case.