Sculpt the dorsal hump, dont break it

Hi Star

Yes a dorsal hump can be approached effectivly through a closed approach. If it is mild then it may not have to be "broken." if you want just a small amount reduced it can be done with a rasp, which looks much like a file. Or what I have had great success with is using a rotating "burr."  It is an instrument that precisely shaves down and sculpts down the nasal bone to a very smooth finish. If the hump is very large then it can be approached also through a closed apporach but may require osteotomies or "breaking of the bones." But keep in mind this is not as bad as it sounds. When done by an expereinced physician, it is a very gentle maneuver that rarely results in bruising. I hope this is helpful. Good luck.