A small dorsal hump can be corrected without osteotomies (breaking the bones), but sometimes these are necessary to prevent what is called an "open roof deformity". Imagine a triangle that has the tip cut off. The triangle is then open to the air above. The nose cannot be left like this, so osteotomies are needed on the side of the triangle to allow the walls to fall inward, closing the "open roof". Your facial plastic surgeon will be able to analyze your nose, and predict which surgical maneuvers will be the most effective in achieving the result that you desire.Best Wishes
Yes, it is possible to shave down the nasal bone in performing the Rhinoplasty procedure. A surgeon's approach depends upon your health, desired look and current nose. We at the Clevens Center always suggest you consult a board certified facial plastic surgeon toreceive the highest quality knowledge, treatment, care and skill available. A consultation provides you the opportunity to relay yourconcerns and desired outcome to the surgeon while the surgeon can assess yourhealth profile and discuss his/her pertinent advice.