A nasal bump, also known as a dorsal hump, is made of two components: bone and cartilage. A small bony hump can be treated by filing down the bone without breaking it. In some cases “non-surgical”rhinoplasty can help to reduce the appearance of the bump. On small dorsal humps, fillers, like Radiesse, are used to fill areas above the hump to camouflage its appearance. This method is quick and inexpensive, but the results only last about a year. However, large dorsal humps require a rhinoplasty to trim both the cartilage and the bone by breaking it (osteotomies), in order to create an aesthetically pleasing nose. Even if osteotomies are performed during a rhinoplasty, patients tolerate the procedure quite well and it is less painful than it seems.