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Your profile photos demonstrate a long nose and a droopy overprojected tip with an associated convexity of your nasal bridge. Your narrative is not detailed enough to know your desires and expectations. Feel free to re-ask your question with a description of your concerns and what you would like to achieve. A frontal photo would be helpful.Hope this helps you.Dr. Joseph
It depends on how much of a reduction you desire. The more reduction you desire the more likelyhood you will require lateral osteotomies to bring in the lateral nasal bones.
In addition to the photos that you provided, a true frontal view would be helpful to see how wide or asymmetrical your nasal bones and upper lateral cartilages are. Although your bump appears to be moderate from the photos you have posted, you may still require osteotomies (controlled fractures) of the bones to create a smooth and straight dorsum on the frontal view and avoid an inverted-V deformity (the appearance of an upside-down V-shaped shadow on the frontal view) after surgery. Failure to adequately address asymmetrical nasal bones during rhinoplasty will lead to an irregular appearance of the bridge from the frontal view - you will notice this after surgery.
Osteotomies after bump removal are usually necessary to improve the result.Kenneth Hughes, MDLos Angeles, CA
Only a very small bump on the nasal bridge can be simply filed down when it is bony in nature. The majority of bumps are usually cartilage, and when the hump is removed medial and lateral osteotomies must be performed to prevent a "flat top" nose or open roof deformity.