Rhinoplasty: My nose is thin and too long for my face, if I get the hump removed would I need to make the tip smaller?

The nasal hump when reduced actually makes the nose look smaller. That should resolve your issue. You do not need to do the tip at the same time. If down the road you feel your tip is too big you can get tip-plasty as a separate procedure. RegardsDr. J

The dorsal nasal hump is composed of both bone and cartilage and needs to be shaved down in order to give an improved profile. Once the hump has been removed, osteotomies of the nasal bones are required.   Depending upon  the patient's desire, the tip itself can be left alone or narrowed. This is  part of the consultation process and decision-making going into the rhinoplasty procedure at the time of examination. Computer imaging can be performed in most plastic surgery office settings, with the better photographs and a higher resolution. 

Removal of the hump can be performed through a closed rhinoplasty approach.  Tip position can be evaluated with imaging to determine if you want additional changes.Kenneth Hughes, MDLos Angeles, CA