Have you heard of 'mini' rhinoplasty where the dorsal hump is shaved down? (Photos)

I understand that you said you don't mind that your nose droops, but the problem is that when you take down a bump, it makes the nose *look* longer, as if the tip had drooped even more! So if you only have the hump taken down, it's just about certain that you'll think the nose is too long, and wish more had been done during surgery.

You can figure that out with morphs, well before deciding on surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose, AND what your nose would look like with only the hump taken down. I think you'd see what I'm talking about. 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.

Would a “mini” rhinoplasty suffice? when you shave down the dorsal hump, you remove the bridge across the left and right nasal bones. You now have a wide flat bridge with a visible left nasal bone and a separate visible right nasal bone. This is called an open roof. This would not be a desirable result. Your nose is also long with a down projecting tip. If you shave off the dorsal hump the nose will appear even longer in profile. I doubt there is any plastic surgeon who would recommend anything short of a full rhinoplasty. however this does not mean you have to have a very small or very different nose. Noses can be done in a conservative manner to preserve a “natural“ look which many patients do request, and which can easily be done.

If you truly want to only address the bump during your nasal surgery, then you can certainly do just that. The bump would be taken down and the bones brought back together to form a nice nasal bridge. I would suggest seeing a rhinoplasty specialist that can perform computer imaging at the same time so you could see how it would look with the tip addressed as well. Then you can decide what you really want to do.