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

Dear the218hatr,
it is hard to tell for sure without an examination. Based on your photos, it looks like you are a great candidate for a rhinoplasty. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello and thanks for the question. Sometimes small irregularities and bumps along the bridge of the nose can be removed in the office setting under local anesthesia. Its difficult to tell without a full examination if you would be a candidate for this. If you are and its the only thing that is done, the recovery would be quite short. Some swelling and perhaps some bruising for a few days with minimal pain. I recommend a consultation with a facial plastic surgeon with expertise in rhinoplasty to discuss further

You have bone and cartilaginous dorsal hump which must be shaved down to remove it. That will leave you with an open roof, flat-top nasal deformity. Osteotomies are mandatory to close the open roof created from the hump removal. This cannot be performed under local anesthesia, it must be performed under general anesthesia by a board certified physician anesthesiologist.

This isn’t a minuscule hump and I do not think it can be addressed in a minor procedure under local anesthesia. The nose is a pyramid. If you disrupt one of its sides, it must be resupported. You are certainly a candidate for rhinoplasty.