Would it be possible to only file down the side of my nose "shoulders"? (Photo)

Hello, Yes this is possible. The "hump" is a variable combination of bone and cartilage. From the photos and your question, it seems you are mostly concerned about the prominent edges. These are mostly bone and can be rasped with a very minimal closed approach in order to soften this area. If there is some cartilage, the surgeon should be able to trim this lightly through the same approach as well. Even though this is relatively "simple" when compared to full rhinoplasty, still make sure to find someone well qualified and experienced with rhinoplasty. Good luck!

In general, when whenever we file bony bumps on the bridge of somebody's nose, it always leads to a wider nasal appearance. It is for this reason that osteotomies may be necessary after dorsal hump shavings. I hope this answers your question. Sincerely, Dr. Joseph

Yes, it is possible to do a closed rhinoplasty where an incision is made inside the nose within the nostril and the bony prominence can be filed down. This would take about 1 hour to perform under general anesthesia.

Best Wishes,

Gary Horndeski, M.D.

Just filing your nose will nit give you an acceptable result. You need your entire bridge lowered and the bones broken. Your bumpers are made of cartilage and cartilage doesn’t file very well

When dorsal rhinoplasty is performed to remove the hump on the bridge of the nose, the bone is shaved down. This makes an "open roof deformity" which is then repaired by making precise cuts in the bone (called osteotomies) to close the opening. Imagine the peak of a roof being removed, then the top of the house would have an opening. The opening then needs to be closed.

I suggest having a few in person consultations with plastic surgeons in your community..
Explain to them what you don’t like and what you’re hoping to achieve and let the plastic surgeons make an assessment and a treatment plan for you.
Best,
Mats hagstrom MD