Procedure to Reduce Dorsal Hump

I read your question and reviewed your photos. You appear to have a long nose with a profile bump, and droopy tip that worsens with smiling. In my opinion, you would obtain an optimal result by addressing all of these issues, not just your bump. Your nose will continue to lenghthen as you get older, so if you're inclined to undergo a major operation you may want to consider nasal shortening, and tip rotation as well.

You may want to consult several reputable, experienced rhinoplasty specialists to see what would be best for you.

I hope this helps you.

Regards from NJ:

Rhinoplasty or nasal surgery to remove a dorsal hump or bump on the nose may sound fairly straight forward.  However, other techniques must be incorporated in order to respect the aesthetics and function of the nose.  If the hump is taken down alone, the bridge or dorsum of the nose will seem like the top of an aircraft carrier (an open roof deformity).  Flat and wide.  The bones on the side of the nose need to be fractured and brought inwards inorder to "close" this open roof.  

In addition, the nasal valve may be effected when a hump is taken down.  This is the area of highest nasal airway resistance.  It is important to respect this valve and reconstruct it after hump removal.  Otherwise, nasal function may be compromised.  

Reducing the dorsal bump of the nose is one of the most frequently performed procedures in rhinoplasty. Small bumps can often be treated by reducing the bone and cartilage directly beneath the bump. Large bumps may require reduction and repositioning of the remain supportive structures to avoid making a flat spot on the nasal dorsum.

This is usually a simple procedure. Computer imaging is very helpful in these cases. While it cannot be a guarantee of results, it can greatly facilitate the decision of how much reduction is enough. By defining the goal before surgery, the chances of a result you will be happy with are greatly increased.