I just want this small bump on the left side of my nose shaved/rasped down with local anesthetic, is that possible? (photos)

Ultrasonic Rhinoplasty device Piezo®:

In traditional Rhinoplasty, surgical instruments known as rasps and osteotomies (hammer and chisel) are used to reshape the nasal bones by removing the hump and/or narrowing the nasal bone width. These tools are relatively imprecise and their use can lead to contour irregularities, etc. if not used in the proper manner. Recently, a technology that uses sound waves has been developed to contour nasal bones in a precise and far less traumatic way when compared to traditional techniques. Ultrasonic, or Piezo, Rhinoplasty is now the most advanced technology available for minimally traumatic nasal bone reshaping and hump removal during Rhinoplasty. There will be hardly any bruising and swelling which will make the recovery period a lot easier for the patient.

That bump might be able to be filed down with a small rasp under local anesthesia. There is a very narrow rasp designed specifically for this. I can’t assure you that it would work, and I personally wouldn’t try. But there are plenty of rhinoplasty surgeons that would probably try.

Yes it can be done under local. Watch the video link below. Its quick, easy and rewarding.
Regards
Dr. J