Is Nasal Hump Reduction a Simple Procedure? Doctor Answers, Tips
Rhinoplasty: Q&A
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Is Nasal Hump Reduction a Simple Procedure?

Hi! I am a 20-year-old female. I have come to the conclusion that the only thing I don't like about my nose is the nasal hump. I wouldn't say the hump is huge, but it is noticable.

I would like to have the hump reduced, but do not want a sloping nose (it wouldn't match my other features); I want a very natural looking nose.

I want to know how difficult this will be. Will my nose need to be broken? Since I only want my hump reduced and absolutley nothing else, so will the healing time be faster or will bruising be less apparent?

15 Doctor Answers | Asked by eloisa in wisconsin
+1

Nasal hump reduction usually requires breaking nasal bones

At the time of a rhinoplasty when a hump reduction is performed, the most likely result will be a flattop open roof nasal deformity. The nasal sidewalls will have to be reset inwards to close the open roof to give a natural-looking nose. Otherwise, the nose will not look right.
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Nasal Hump Reduction - Simple or Complex

Obviously, any type of nasal cosmetic rhinoplasty is not a “simple” operative procedure. Even reducing a nasal hump takes significant operative skills since it is a surgical procedure of millimeters. The goal is to reshape the dorsum to make it harmonious with the face and have a smooth dorsum as it transcends into the tip without any irregularities. There is no such thing as a simple nasal reduction or a simple rhinoplasty.
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Small hump

It's definitely possible for you to have a natural look.  I would recommend you see an experienced rhinoplasty surgeon for consultation and discuss with him/her what you would like your nose to look like.  Sometimes bringing photos of noses you like helps and many surgeons have computer programs that do recreations of what your nose may look like.  Regardless, good communication with your surgeon is critical.  He/she will be able to help you set realistic... more

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+1

Nasal Hump Reduction - How Easy Is It?

Reducing the bridge of your nose will probably be simple. The question is how much does the bridge need to be reduced. For very minimal amounts of reduction it may be possible to simply reduce the bridge and this would leave minimal swelling and virtually no bruising. Larger reductions leave the nose looking too wide from the frontal view and this is when it is necessary to narrow the appearance of the nose by mobilizing the nasal bones with a controlled fracture where the nasal bones meet... more
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Most hump reductions involve more than simple hump removal

Once the surgeon reduces the nasal hump by either rasping or chiselling, additional work is necessary to provide nasal harmony. Osteotomies as well as nasal tip work may be necessary. Most surgeons do not take down the hump enough to give a sloping dorsum, but this can be a difficult to correct complication of an overresected hump. Seek the skill and experience of a qualified Facial Plastic Surgeon.
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This would be simple relatively on the scale of Rhinoplasty in general

Rhinoplasty is a very difficult procedure especially when you need your nasal tip changed. It is a procedure that takes years to master. I've been doing Rhinplasties for 8 years now and have come to respect this procedure. It is a procedure that you need to continually improve on. Things change and techniques get better and you always need to learn the latest in the new ideas out there. Nasal hump reduction is on the easier scale when you talk about rhinoplasty as opposed to tip work or... more
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Nasal Hump Reduction is Complicated

Although it might seem to be simple the reduction of a nasal hump is complicated. Once the hump has been removed with a chisel, the dorsum looks wide. It is then made narrowed by breaking the nasal bones along the side walls where the nose meets the cheeks. The nasal bones are then pushed together to get a narrow bridge. In summary, reducing a dorsal hump can lead to a full rhinoplasty of the upper 2/3 of the nose. Regards
+1

A small nasal-hump can be camouflaged with a Non-Surgical Rhinoplasty.

If your nasal hump is small, and if that's your only concern, an Injectable Filler Treatment may be worth investigating. Injectable Fillers placed above and below a small hump will make your profile appear straight. If your nose is on the small side, this works well. If your nose is a bit large, Fillers will make it larger necessitating Rhinoplasty surgery. I've attached a link demonstrating this technique. I hope this helps, and best regards.
+1

Rhinoplasty for Hump at Bridge of Nose

Yes, and no. Rhinoplasty is not one operation, but many potential operations. Every patient is unique.Removing the hump from a nose is the most common request for cosmetic nasal surgery. Humps are usually made up of both cartilage and bone, and come in various sizes and shapes. Reducing small humps is a relatively easier procedure, as compared to more extensive rhinoplasty surgery. Large bumps will require bone reshaping/breaking after the hump is removed. A goal in nasal surgery is to... more
+1

Rhinoplasty, Subtle Rhinoplasty with Hump Removal Only

Hi Eloisa, Some patients can have just their hump removed, while other patients would require treatment of their tip and nasal bones as well. It is difficult to tell you which group your nose would fall into without examining your nose carefully. It is possible to have a subtle rhinoplasty where your hump is removed and the remainder of your nose appears the same. You must be sure that you communicate very clearly your wishes to the rhinoplasty surgeon during your consultation. Make sure... more
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Look at photos

Hello Eloisa, You make an excellent point by stating you do not want a "sloping nose." This is a very important point to discuss with your surgeon. Look at photos and look at the surgeon's before and afters. The noses should be unique & fit the patient's face. Look for a surgeon who can tailor the results for you and avoid the artificial look of a "too sloping" nose. Good luck!
+1

Nasal hump removal must balance with the rest of your nose

To quote Dr. William Wright, a highly respected rhinoplasty teacher, "performing a rhinoplasty is easy. Getting consistently good results however, is difficult." Hump removal may be all you need, but often it could throw off the balance of the rest of your nose. Especially for circumstances like this, I like to use computer imaging, for you as well as for me to determine if hump removal is all that is needed. Sometimes the tip of your nose might be a little wide as well or stick... more
+1

Dorsal hump reduction

The answer to this depends on the size of the hump, the size of your nose, and the way your nasal structures relate to each other. you can think of the nose as a triangle or pyramid, with the nasal bones being the pyramid walls on two sides. a hump occurs when the very top of the pyramid has an extra protrusion- like a spire on top at the apex. If it is just the spire that needs to be removed, as is sometimes the case, then the hump can be removed by a closed rhinoplasty alone using a rasp... more
+1

Nasal Hump Reduction

Get your hump removed, but do it right. You correctly emphasize that you want a "natural" result. The size of the hump will determine if it is necessary to break the nose. Recovery will be less than a full rhinoplasty, but do whatever is necessary to achieve the desired result.
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Hump rhinoplasty (nose job)

This really depends on the extent of the hump. IF it is a relatively small hump it can be rasped (filed). If it is a larger hump, removing it will leave an "open roof" which usually needs to be closed. It can be closed one of two ways: 1) with a cartilage graft (this does not require the bones to be broken) 2) or by cutting (not breaking) the nasal side bones and bringing them together. Yes this can be done alone without doing anything to the tip.
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