Can I have this hump on my nose fixed? (Photo)

Hello and thank you for your question. It sounds like your biggest concerns are your nasal dorsum and nasal tip- you have a dorsal hump, and a long appearing under-rotated over-projected nasal tip lacking proper definition, as you mentioned. Addressing the dorsum (especially a dorsal hump) and the nasal tip are two of the most common reasons people seek out and undergo a rhinoplasty. Many people 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, as in your case.
During this procedure, the dorsal hump can be shaved down and the nasal tip shape can be refined, to provide better aesthetic balance to the nose and make it more proportional to the 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

3 structures create your nasal shape. The shape of your bone, your cartilage and the thickness of your skin will determine the shape of your nose. Reshaping your bone and cartilage will help to create a new, straighter structure underneath your skin so that the skin re-drapes over a smoother more refined nasal shape. Suturing of the cartilage of the tip of your nose, can reshape the cartilage to give you a more refined tip. Have a consultation with a board-certified plastic surgeon to understand your best options. Best wishes.

Hello! Thank you for your question. As far as I can see from your photos you have over projected nose tip, strong dorsal hump and dorsal bone deformity. For get rid of this image and gain more elegant, youthful and harmonized face I recommend you open rhinoplasty surgery.It would be more convenient to decide with face-to-face consultation. Best Regards!

YES, of course those features you wish to adjust can be surgically modified by carefully planned and skillfully executed rhinoplasty. Your end result is sketched (in our office) to your agreement and that becomes the surgical plan. There is cost and risk involved, but usually, rhinoplasty is very successful.

Hi,
A well executed rhinoplasty will reduce the hump as well as correct the depression you have under the bump. I recommend a consultation with a facial plastic surgeon specializing in cosmetic rhinoplasty.

Best,
MS

Hi , Rhinoplasty can enhance the nasal profile including nasal hump or tip. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process.

You have that hump, and in the area of the hump, the nose appears wider than it needs to be, so narrowing that upper bridge might be nice. The feature that I notice most in addition is the length of your nose. The tip of the nose succumbs to gravity with time, and it pulls the tip down. Consider: when you see a face with a shorter nose, you automatically think it's a younger face, and a face with a longer nose we interpret as being older. In any case, though, your nose is probably longer than it was a couple decades ago, and I'd like to see the tip up. Up quite a bit, actually.

How *much* to elevate the tip, or narrow the bridge, 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.

It's important to have a thorough consultation to discuss your medical history, current health, and any specific concerns you have. We can help you understand the risks and benefits of the procedures and talk about your expectations.

There are two issues. Your nose is much too long and you have a small bump. This is best corrected in my experience with closed rhinoplasty. The tip may drop down some after the surgery over time and need to be shortened further

A closed rhinoplasty approach can accomplish shaving down the dorsal hump, narrowing and straightening the bridgeline, and adding a small cartilage graft just below the hump where there's a depression. Digital computer imaging would be helpful to understand what can be accomplished with your nose upon your facial features. You will also need to get your deviated septum fixed as well, otherwise the breathing can be worsened when you make the nose smaller. Choose your rhinoplasty specialist wisely based on extensive experience