Can you get a rhinoplasty that makes a nose smaller without totally eliminating the profile view bump?

Thanks for your question. What you are describing is possible to achieve, and can be achieved by an experienced, well-trained Board Certified Plastic Surgeon. Your plastic surgeon will try to alter the look of your nose while maintaining a balanced, subtle appearance.All the best,Dr. ResultsMiami, FL

...extremely difficult.This would require a customized work made by a very very good and experienced surgeon, probably building a new bridge hump by means of a graft.

In general, it should be possible to reduce the overall size of the nose while maintaining some (or all) of a bridge bump. You should do digital simulations with your rhinoplasty surgeon to get a better idea of how much (or little) change you want to make.

There are a variety of options to
modify the dorsal bump of the nose in order to improve the cosmetic appearance by
creating better harmony with the other facial features. The most reliable and long lasing way is with a subtle artistically performed rhinoplasty through a closed or open approach.

Keep in mind that following the
advice from a surgeon on this or any other website who proposes to tell you exactly what to do  without examining you,
physically feeling the tissue, assessing your desired outcome, taking a full
medical history, and discussing the pros and cons of each operative procedure
would not be in your best interest. I would suggest you find a plastic surgeon
certified by the American Board of Plastic Surgery and ideally a member of the
American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic
surgeon that you trust and are comfortable with. You should discuss your
concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Without a full set of pictures,  it is very difficult to comment on what can and cannot be accomplished with a rhinoplasty procedure. The dorsum of the nose is composed of both bone and cartilage, and contributes significantly to making the nose large and projecting. Remember, the nose is with 3-dimensional structure and  it must look good in every different angle and function properly. It is possible to make the nose smaller, and leave a rather full, straight dorsal profile in some patients. Computer imaging in the office setting would be helpful to understand what can be accomplished. Rhinoplasty is the hardest operation to perform in the entire field of cosmetic surgery, so choose your surgeon very wisely based on experience.

It is very hard to give you exact information without seeing you or seeing photos of you.  Technically it is possible to thin the nose without removing the bump.   An examination with an experienced rhinoplasty surgeon will let you know if it is aesthetically possible.

I would say this is a tall order for the surgeon as the bump will appear larger when the nose is reduced. I would not recommend leaving a bump. It would look like a mistake.