Hump Removal via a Closed Rhinoplasty

C. Spencer Cochran, MD answers: Filing down the dorsal hump?

I have a small dorsal hump that I would like to get fixed on my nose, and was considering closed rhinoplasty. The plastic surgeon informed me that he could just go in and file it down without breaking or fracturing any bones. Does this sound like a good idea? The absolute only thing I want done is the hump shaved down, and it is very small. Will any other part of my nose need fixing if the surgeon simply files the hump down?


C. Spencer Cochran, MD
8 months ago

Patients with a dorsal hump are ideal candidates for closed rhinoplasty.  A dorsal hump is usually comprised of both bone and cartilage. 

To remove a hump, an incision is made on the inside of the nose and a rasp is used to "file" the bony portion of the hump. If there is a cartilaginous component to the hump, this is trimmed with a scalpel.

One result of a hump removal is that it makes the bridge wider and may require osteotomies (breaking the nasal bones) to narrow the width of the bridge.  

If your bridge is narrow, this may not be as much of a concern. However, if your bridge is currently a normal width or wide, hump removal with osteotomies may make your bridge even wider.

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