Do I have a dorsal hump or saddle nose deformity? (photos)

Thank you for your question and photos. Your septorhinoplasty procedure to correct a nasal valve collapse can be combined with rhinoplasty to improve the appearance of your nose. The valve collapse may be the root cause of your nasal bridge indention and can be treated with this combination of procedures to create a smooth, feminine-looking result.

Please keep in mind that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in septoplasty and rhinoplasty techniques. They will be able to conduct a thorough examination and determine what steps are necessary to improve your breathing difficulties while also achieving your desired aesthetic.

Yes, you have a hump on the bridge. And there is indeed that dent between the bump and the tip. But your tip is very strong in its forward projection away from your face. If the tip were brought back closer to your face, that dent would no longer look saddle-y. In fact, ideally, your tip might be brought back closer to the face enough that some more might be carved off the area of the dent, in addition to lowering the bump. I hope I explained those mechanics well enough. The three-quarter view also shows the bump, but also the projection, and the width of the tip, and the top-to-bottom length of your nose.
How *much* to deproject the tip, or lower the bump, or narrow the tip, 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 require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.