The only way you can get an accurate opinion is with a consultation, to have a reasonable opinion you need good pictures.
Looking at this pictures you would benefit from surgery and yes all your concerns can be addressed with the surgery. Be sure you see a board certified plastic surgeon with experience.
A rhinoplasty would address your concerns of the hump very well. It generally involves filing down the bony hump and possibly cutting the bone. During your surgical consultation, the specifics of the surgery would be discussed and you would be examined to determine whether septum surgery is also indicated.
The best way to find out what is the most recommended procedure for you is to schedule a consultation with experienced board certified plastic surgeon specializing in rhinoplasty procedures. You need full evaluation that cannot be based just on photos. Surgeon needs to take a good look inside your nose to be able to evaluate your septum. You can also ask for Vectra 3D program to be able to visualize the final results. Ask for before and after photos that will show surgeon's work.
There are many aesthetic changes which can be performed during a well planned rhinoplasty. A physician exam is really needed and would be assisted by the use of computer imaging.
The Rhinoplasty procedure can accomplish shaving down the hump which is composed of both bone and cartilage to give a better anesthetic dorsal line. Medial and lateral osteotomies of the nasal bones will be required to narrow and straighten the bones and close the open roof deformity from removing the hump. Minimal tip work would be required.
Your concerns regarding the crookedness of your nose and the dorsal hump can certainly be addressed through either an open or closed (endonasal) rhinoplasty approach. You would likely need straightening of your nasal septum, conservative resection of your dorsal hump, and possibly osteotomies to address any deviation of your nasal bones. This can be accomplished through either an open or endonasal approach, and will largely depend on your surgeon's experience and preferences. Both approaches can give you a great aesthetic and functional result.
Sachin Pawar, MD
You have a very feminine nose and yes, you can remove the hump on the bridge of your nose through a closed rhinoplasty surgery. You would be in a cast for a week, otherwise, it should be a straight forward surgery.
It looks like your nose could be improved with a fairly straightforward rhinoplasty. The main issue is a moderate dorsal hump and likely a deviated septum if you are having breathing difficulty. Your tip has a nice shape, and I agree that it does not need to be narrowed much.
The hump can be taken down without changing the other aspects of the nose with a closed rhinoplasty approach.
Find a board certified plastic surgeon 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