Possible to shave down a bump on one side of nose without osteotomies?

When shaving down the dorsal hump, it doesn't take much to create an open roof deformity, therefore  Osteotomyies are usually required in the nasal bones to straighten  and narrow them, and close the open roof created from the hump removal. A full set of photographs required to make a determination along with an in-person examination. The hourglass issue also be addressed with osteotomies in addition to spreader grafts placed underneath the concave upper lateral cartilages.

Most of the time, taking down a small bony nasal "bump" can be done with only a rasp, and osteotomies can be avoided.  Osteotomies are usually performed if the "bump removal" leaves the patient with a wide/flat dorsum.