One of the most common nasal deformities that people wish to correct is a nasal bump or hump. Clearly, a rhinoplasty is the definitive way to fix this problem. However, there are several in-office procedures that can correct the appearance of the hump and these methods can be quite successful. The first method is known as the nonsurgical rhinoplasty. When I perform this procedure I analyze the nose to see where the problem is originating from. In general, when there is a hump the area at the top part of nose known as the radix is low or dipped down in comparison to the bump that occurs as you move down the nose. Occasionally there is another dip beneath the bump as you continue to move down the nose towards the tip in the area known as the supratip. By adding a filler to the low spots at the radix and supratip the bump becomes camouflaged and a straight appearance to the nose is achieved. This works very nicely and the result lasts for about 1 to 1 1/2 years. Occasionally a person is a good candidate for a syringe assisted hump reduction. If the hump is made up of all cartilage and no bone then I can use a needle to break up the cartilage and suction it out with a syringe similar to the way liposuction works. This technique is good for only a very specific type of bump. The nonsurgical rhinoplasty is done under local anesthesia and is done in the office with no downtime.