Will bone filing without tip reshaping make my nose droop?

Hello,Based off of your pictures a small filing of the dorsal hump with sculpt your profile to the perfect balance. Your nasal tip is at a good angle that I believe will not be affected negatively by your dorsal hump filing. Trust your doctor's advice!All the best,Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

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 

Dorsal hump reduction will not make the tip droop necessarily, but the answer depends on your tip support.  Without an exam, it will not be possible to fully evaluate you and give you recommendations. Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.