Do I need a rhinoplasty or can it be only rasped? (photo)

Yes, if the hump on your nose is small, it might be possible to rasp it down under local anesthesia without a full rhinoplasty, depending on whether it's made of bone or cartilage. This can usually be done with minimal surgery. It's important to consult with a plastic surgeon who can examine your nose in person to determine the best approach. As for whether your nose needs work, that's entirely up to your personal aesthetic preferences. A qualified surgeon can help you understand the structure of your nose and recommend the most appropriate procedure.

You can certainly have a procedure that only addresses the bridge. It's possible to do under local anesthesia, but you would have to be pretty stoic to do so. Also, an evaluation is needed because if enough bridge is taken down, then the bones will have to be brought in which would necessitate general anesthesia. Be sure to see a rhinoplasty expert for consultation.

Hello! Thank you for your question.
As far as I can understand from your question the operation I will recommend to you will definitely be an open rhinoplasty operation under general anesthesia, both permanent result and it is possible for the surgeon to easily see and intervene in every area.
It would be better face to face consultation.
Best Regards!