It almost never happens that a nose has some modification on the tip and *nothing* else. For example, on your nose, if you were to have surgery, why not lower that tiny bump a little bit? On someone else, if the tip gets narrower with surgery, now the bridge might look too wide, so the bridge should be narrowed, too. Stuff like that. But yes, your dorsal bump is pretty small, and you'd decide whether you like a little bump or have the bridge be straighter or even a teeny bit concave. And the main event would be elevating that tip. How *much* to elevate the tip, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.) Finally, 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. The changes that your nose needs -- particularly that large elevation of the tip -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. You don't want to be in the position after surgery of looking at a nose that's still too long. It's much better to not have surgery than to have inexpertly-performed surgery.