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

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

Yes, I would agree that
altering the tip and alar bases is one of the more difficult Rhinoplasty
procedures to perform.  It is important
not to be overly aggressive and narrow the nasal tip or alar base too much or
the results will look unnatural and unattractive.  Making the changes illustrated in the
pictures your provided often involves removing small amount of cartilage and
also modifying the tip shape with sutures.  I suggest taking your time and researching a few facial plastic surgeons
or plastic surgeons.  It is important to
ensure that your doctor is board certified, specialized, has excellent reviews,
good before and after results and ample experience.  Good luck with your search!

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

Dear treelover983: You really need and in person evaluation complete with physical examination, photo's, imaging and a discussion of realistic expectations. Please visit a board certified plastic or facial plastic surgeon with rhinoplasty experience. The Rhinoplasty Society is a good place to start. Hope this helps

It really depends upon the experience of the surgeon if a type of rhinoplasty is difficult or not. Best to seek ONLY IN PERSON evaluations... 

This is the most difficult cosmetic operation that we do on the face. Having said that, you should achieve a nice natural result if the work is done by a rhinoplasty specialist. Ask to see examples of your surgeon's results in patients who had a nose like yours. Computer imaging is not surgery.