Hyaluronic fillers can elevate the depressed area above the hump, called the radix, and camouflage the hump producing a modest cosmetic improvement. They generally last 6-9 months. Micro-fat grafts are a more permanent filler, but require a more involved procedure. There are synthetic permanent fillers, but most plastic surgeons would warn against using them, especially in the nasal area because of the long term potential complications. Fillers will not produce the same long term balanced cosmetic result that can be achieved with an artistically performed natural appearing rhinoplasty. Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of each procedure would not be in your best interest. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person. Robert Singer, MD FACS La Jolla, California