As you found in your research, filler is often used to "fill in" the little depression above a bump, thus making the bump less noticeable. But it tends to make the nose look longer, and thus bigger, and most people aren't looking to have the nose made bigger. Your nose has some strong features. The tip is strong in its forward projection away from your face. And it's "long," where we measure length from where the nose begins between the eyes, down along the bridge to the tip. So changing a "long" nose involves elevating the tip. "Classic" changes that a good surgeon would consider on your nose would be to elevate the tip, lower the little bump on the bridge, and bring the tip and the entire nose back closer to your face. Those changes get figured out in the morphs, before surgery. If you get the little area above the bump filled in, it'll make your nose look longer, and thus bigger, so I think you could consider a rhinoplasty, but if not, don't have the filler as an alternative. If you do decide to investigate a rhinoplasty, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. Your nose is also a perfect example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. I always email morphs to my online rhinoplasty consultations. When you see the surgeon's goals in the morphs, you'll know whether he has an eye for an attractive nose, and whether he shares your opinion of what constitutes an attractive nose. You'll also know whether the changes he proposes are large enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not the surgeon for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.