Rhinoplasty and Humpectomies

Daniel Reichner, 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?


Daniel Reichner, MD
9 months ago
By Daniel Reichner, MD - Orange County Plastic Surgeon

The nasal hump is composed of bone and cartilage.  Most small humps can be reduced with rasping and removal of cartilage using an endonasal (closed) approach.  Most good rhinoplasty surgeons will assess the profile and determine if - after removing the hump - osteotomies are require to narrow any flatness on the dorsum.  It is important to remember -  there is no "simple" rhinoplasty - even a simple hump reduction may require osteotomies and can develop scar tissue during the healing process.  I recommend selecting a Board Certified Plastic Surgeon with extensive experience doing rhinoplasties.

2 of 2 found this helpful
Helpful?

Request info from Dr. Reichner

50 words maximum (0 words entered)
Your info is protected by our privacy policy
More answers to “Filing down the dorsal hump?”

A: Shaving down the 'hump' only may create a flat appearing nose.

Sanjay Grover, MD
9 months ago
By Sanjay Grover, MD - Orange County Plastic Surgeon

Shaving down the 'hump' only may create a flat appearing nose if you have a significant hump.  This may create an 'open roof' deformity.  Many patients benefit from 'breaking' of the bones following hump reduction to create improved nasal harmony.

2 of 2 found this helpful
Helpful?
Contact the doctor
Back to “Filing down the dorsal hump?”
Post your question
Email to friend
Permalink

Rhinoplasty before & after photos

Rhinoplasty
View all 643 photos

Rhinoplasty doctor answers

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.