The bump on your nose is either a family characteristic (usually “daddy’s nose in pretty young ladies) or the result of trauma. It could be from a recent injury that flattened the lower part of the nose below your new bump or from a childhood injury that altered the microscopic growth centers in the bone and cartilage of your nose. A bump that is a family trait is often more cartilage than bone. The cartilage can be shaved down and the bones filled. Sometimes the bump looks larger than it actually is because there is a depression in your profile between you eyes, called the radix of the nose. In this case, a small graft of cartilage can be used to elevate the depression. This then leaves less of a bump to decrease and a more correct profile than if the bump had just been removed. It the bump is the result of recent or childhood trauma to the lower third of the nose that caused a loss of height in your nasal septum, it is called a saddle deformity. Raising the septum and/or adding a cartilage graft on top of this lower depression will improve the profile without actually making much change in the bump.