Is shaving the bone necessary to remove a hump on the bridge of nose? (photos)

You are correct, you have a small nose. You don't need the hump reduce but a cartilage graft (supra tip graft) between the tip and the hump to make the dorsum straight.
Removing the hump might give you too much of a ski slope shape.
Regards
Dr. J

Firstly, I have to emphasize that the aesthetic outcome of the Rhinoplasty must be thoroughly discussed with your surgeon before the operation. In this case, I understand that you are reluctant to lose any of the height on the profile view of your nose. To answer your question, yes it is possible to perform this operation without any shaving of the bone, but rather focus on increasing the projection. I believe that your surgeon wants to do that because there will be also a dip if he doesn't reduce the height of the mid dorsum. in my opinion, if you don't want any height loss, you would require two grafts- one in the glabella and the other in the area underneath the bump raising to the tip.

Thank you for your question and photos.

In essence, the answer depends on the end result that she would like to achieve. There are 2 ways to help you decide about this:

- Computer imaging and simulation can give you a reasonably good assessment of the appearance on profile.

- Injectable filler treatment to the upper part of the bridge or upper part of the bridge and supratip can give you an evaluation of the correction from multiple angles. To some degree, a similar effect can be achieved also with computer imaging and simulation in 3D.

The bottom line with surgical interventions for cosmetic changes is that you should avoid doing operations that you are uncomfortable with. Evaluations in preparation for surgery have become increasingly more sophisticated to help answer questions like yours. They are not perfect, but in particular when in doubt you should try and evaluate the impact of these changes before having a surgical treatment.