I have always disliked the brige of my nose. What would you fix/how? (Photo)

Rhinoplasty and the nasal bridge: during a routine rhinoplasty the dorsal hump, which in your case is very small, is removed, generally by Rasping. After removing the dorsal hump the nasal bones are moved inward which narrows the nasal bridge. This is usually combined with refining the nasal tip and in some cases other issues such as length, projection, rotation of the tip, etc.

Hello and thank you for your question. It sounds like your biggest concern is your nasal dorsum, which is wide and has a dorsal hump, as you mentioned. Addressing the dorsum (especially a dorsal hump) is one of the most common reasons people seek out and undergo a rhinoplasty. Many people also complain about their nasal tip, saying it is too "bulbous" or "boxy" or just poorly defined, and that they would like their nose to be smaller, cuter, more defined, or more feminine. An open septorhinoplasty can best address the entire nose, and is particularly effective for addressing both the dorsum and the nasal tip.
During this procedure, the dorsal hump can be shaved down, and the overall dorsal shape can be refined (made narrower in your case) to provide better aesthetic balance to the nose and entire face. In addition to addressing your aesthetic concerns, your septal cartilage would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support.
The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. That said, I would recommend only going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.
Regarding the anesthesia, my personal preference is similar to most- full general anesthesia to assure the most controlled environment and facilitate the best possible aesthetic results for such a complex procedure. Everything ultimately comes down to surgeon and patient preference, so always have the conversation with your surgeon so you both know exactly what to expect, and so you both feel comfortable with how the procedure will be performed prior to proceeding.
Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from any photos and description provided. I recommend for you to come see me or another plastic surgeon comfortable with rhinoplasty procedures for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!
Best wishes,
Dr. Donald Groves
Plastic Surgeon

Your question would be best addressed during an in-person consultation with a surgeon who specializes in rhinoplasty. An experienced surgeon will be able to address your questions after a physical examination of the nasal anatomy and a conversation of what your ultimate goals and expectations are. They may be able to use a morphing software to help you getter a better vision of what your nose could look like after surgery.

Undergoing any surgical procedure requires careful attention to detail and consideration for different options. Consider obtaining several opinions before moving forward with any given procedure. Always trust your face to a board-certified facial plastic surgeon or a board-certified plastic surgeon with very extensive rhinoplasty (nose job surgery) experience.