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!