Hello TruAthlete,Thanks for your question.Your dorsal hump is your natural anatomy. It comes from the relative amounts of bone and cartilage being different in that area and causing a bump, as opposed to a smooth bridge.In African-American's, there are three types of bridges: 1. low riding, 2. a small-moderate hump ("European"), and 3. a high hump, almost hooked ("Native American"). The bridges come from ethnic blending and will vary in families.If your hump bothers you, it can be reduced to improve your profile. You can also camouflage it with injectable filler as a temporary solution. It is permanent otherwise.I hope this was helpful.Take care,Dr. Shah