A nasal hump or bump is best seen in profile or the side view. As simple as it appears, there are no two nasal humps that are exactly the same. Most nasal humps are inherited and composed of bone and cartilage.  In surgery the height of both is taken down creating a more proportionate and natural looking nose.  Sometimes it may look like there is a hump but the height of the nose is actually good.  In these cases the bridge is too low up near the eyes or at the tip.  An example of the latter is a very elderly relative who you notice has a large hump on his or her nose that was not there 20 or 30 years earlier. It is assumed that the nose grew a hump, but actually what happened is that the tip dropped down making the bridge more prominent and appearing to be a hump. The nose does not truly "grow" with time.  Instead the fibrous connections to the tip weaken and the tip drops toward the floor and in towards the face, changing the dimensions of the nose. Video imaging on the computer is a very useful tool for looking at potential bridge height and possible silhouettes in the pre-operative planning stage.