Rhinoplasty; Subtle Hump Removal

Michael A. Persky, MD answers: Reduction of minor nasal hump possible?

I have a hook nose I would like reduced. I have an edited profile image of myself. Is this outcome possible with only a slight hump reduction (only rasped, not removed), or will something else need to be done to get the desired result (hump removal, osteotomies, tip raise, etc.)? Will this procedure require less than the usual Rhinoplasty procedure? Thank you very much.


Michael A. Persky, MD
7 months ago
By Michael A. Persky, MD - Los Angeles Facial Plastic Surgeon

Hi Frank,

Great question and photos.

I often use computer imaging as you have done to plan rhinoplasty.  The subtle removal of your hump can be performed by shaving off some dorsal nasal cartilage and then carefully and meticulously rasping (sanding down) the boney portion of the hump.

Your desired outcome is reasonable and should be attainable.  I have many subtle rhinoplasty patients pictures where their are 3 profile photos.  The "before", the "computer image", and the "after".  It is surprising how close the imaging and after result can be when both the imaging and the surgery are performed properly.

Be well.

Dr. P

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More answers to “Reduction of minor nasal hump possible?”

A: "Minor' Nasal Hump

Richard W. Fleming, MD
3 months ago
By Richard W. Fleming, MD - Beverly Hills Facial Plastic Surgeon

Rasping is one technique used to remove a nasal hump.How much is removed will determine if the bones have to be broken and repostioned in addition to the rasping. Reviewing your excellent pictures, it will probably be necessary to remove some cartilage from the profile line. These procedures will not raise the tip. There is no "usual" rhinoplasty because this surgery is always individualized. You have obviously thought abut the changes you desire. Schedule a consultation with an experienced rhinoplasty surgeon.

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