Is it possible to make my tip go slightly upwards when I smile and to remove the somewhat hump in my nose? (Photo)

We decide what to do surgically to a nose based mostly on what it looks like with the face at rest, since that's how you spend most of your time. But this smiling appearance strongly suggests that when your face is at rest, you would still like to the the hump lowered and the tip elevated. And also, it appears that your nose is strong in its forward projection away from your face, so we'd want to move the tip and entire nose back closer to your face. These are all changes that are possible in a rhinoplasty.

How *much* to elevate the tip, or deproject the nose, or lower the bump, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.

Raising your nasal tip is commonly done when needed and pretty straightforward. However I see many revision rhinoplasties where this wasn’t done. Make sure your surgeon has a plan to raise the tip that makes sense.