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!