Will bone filing without tip reshaping make my nose droop?

Dear SGreenwich83 in Greenwich, CT:
The decision to use spreader grafts to solve a collapsed valve, which you may have is not perhaps as serious as if you had previous nose surgery should be addressed. Closed rhinoplasty is excellent, but I am not sure what you mean by, “can do some filing of the bone.” 

You are a great candidate for a standard rhinoplasty to remove the bump and perhaps narrow it.  I cannot tell from the front view if it needs narrowing.  The bit of hanging columella can be corrected, that is not difficult.  Grafting calls for some consideration before approaching it. 

You may consider having another consultation.  Consult with someone whose practice is nearly all rhinoplasty.  Luckily, you are close to New York City.  There are surgeons like that there.  You want to see the doctors’ photo gallery.  You want to closely examine their section on computer imaging showing the predicted result and the final result.  At consultation bring a friend or family member.  Prepare ahead of time a list of questions of the doctor.  The most important factors in selection of a cosmetic surgeon are:  (1)  Degree of specialization.  (2)   Volume of experience.  (3 & 4) The talents as manifested by the before and after albums, as well as the computer imaging section of the website. 

Best wishes,

Robert Kotler, MD, FACS 

Whilst I would agree with most of what my colleagues have said regarding closed rhinoplasty to correct the dorsal hump and typically this not causing any alteration to the tip, I would add that it is difficult to appreciate from the photos that shaving the bony dorsum will fully correct your dorsal hump. IMHO from the photos, your dorsal hump involves the upper lateral cartilages as well and this needs to be addressed with an open rhinoplasty. With the open approach, the dorsum, spreader grafts and the hanging collumelar can all be corrected.
I hope that this does not confuse the issue for you - speak again with your board certified plastic surgeon. Good luck