Columbia Rhinoplasty doctors

Rhinoplasty may be performed under general anesthesia with relative ease for the surgeon and anesthesia provider. Sedation is also an excellent choice for rhinoplasty, but I'd much more demanding for both the surgical and anesthesia teams. 

In my opinion, an experienced surgeon/anesthetist team can provide an excellent result and experience with sedation or general.  Due to less bleeding and easier recovery, my personal preference is sedation. 

The "tip" of the nose generally refers to the lower third or so of the nose. A "tip rhinoplasty" implies that only the tip needs improvement, and that the bridge and width of the nose may be left as-is - basically performing less than a "complete" rhinoplasty. This is similar to repainting the front half of a car if the back half looks pretty good already.

In my practice, tip rhinoplasty is rare - the difference between refining the tip alone or the tip plus upper two thirds of the nose is negligible. Further, even if the bridge and upper two thirds of the nose seem OK before the tip rhinoplasty, they are sometimes less than ideal once the tip is optimized. In our car analogy, it would be like having a perfect coat of paint on the front half, and the "pretty good" back half now starts looking out of place.

I agree with the other posters - the tip of the nose is where the art lies! Rhinoplasty is one of my favorite operations for that reason alone.

While it is possible to solely reduce the bump on your bridge without changing the tip, I would not personally be comfortable doing that as a surgeon. I believe you will feel like your nose still looks out of proportion. I agree with the other posters - visit an experienced rhinoplasty surgeon who offers computer imaging, and see what that would look like (compared to some conservative tip deprojection and rotation, plus or minus a chin implant).