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Can a Subtle Rhinoplasty Correct Wide Nose Bump?

Would I be a good candidate for a subtle rhinoplasty procedure? The bridge of my nose has bump that's kinda wide so it makes my whole lose look really wide (left photo). My nose looked normal until I was about 16 years old a few years ago.

I was wondering if there was someway to fix this without doing something really drastic. I'm kinda afraid of open rhinoplasty to be honest. I live in Pennsylvania. Thanks for your help.

 
Asked 27 months ago by LinuxAP in USA
Sort 18 expert answers by:
+1

See an experienced rhinoplasty surgeon.

 Whether done open or closed you will have a good, subtle result if you choose a surgeon who does natural subtle noses. If his work doesn't look natural to you see another surgeon. You are an excellent candidate for rhinoplasty improvement.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+2

Subtle rhinoplasty

I believe you are an excellent candidate for rhinoplasty. I think that you are like the majority of my patients in that they would like their noses to not be the focal point of their facial features. I think that lowering the hump would only partially address your concerns. You would probably appreciate narrowing your dorsum at the same time. These do not have to be dramatic changes and in the hands of a good surgeon, should look entirely natural.
Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon
+1

Rhinoplasty can correct wide nose bump.

The bump on your nose is rather large compared to your other facial features, and can be shaved down. Once the bump is shaved down, osteotomies need to be performed to narrow the bridge and prevent an open roof or a square top nose deformity. This can all be done through a closed rhinoplasty where all the incisions placed on the internal portion of the nose.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Subtle Rhinoplasty

A good rhinoplasty should be subtle. It is not a compliment if a stranger can see that you've had nasal surgery. Certainly this can be accomplished with the closed technique.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Rhinoplasty: Small Changes Can Have a Dramatic Effect

Rhinoplasty can have either a dramatic effect or a subtle effect on the appearance of the nose depending on what techniques are used and depending on the patient's preference. It is possible to remove a hump and narrow a wide bridge without having to change other features of the nose. The best rhinoplasty is one which produces a nose that both looks good and functions well. When performed correctly, other people should not be able to tell that your nose has been operated on, but rather they... more
C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
+1

Nose hump removal

Hello, It is possible to perform a hump removal with a closed rhinoplasty procedure. However, if it were necessary to do tip work, I prefer to perform an open procedure as it allows me to obtain better results. Osteotomies (fracturing of the nasal bones) may be performed through a closed rhinoplasty procedure as well. Bruising after the procedure will last about two weeks. Hope this helps answer your question. Dr. Nassif
Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
+1

Formal Open Rhinoplasty in Pennsylvania

You do not appear to be a candidate for a subtle rhinoplasty based on your pictures.  I would suggest scheduling a consultation for a standard open rhinoplasty.
Kevin Ende, MD
Manhattan Facial Plastic Surgeon
+1

Rhinoplasty

Hi, I don't believe that you can get good results by from a subtle rhinoplasty. Your nose is large and the nasal bones appear heavy. Also, the tip of your nose droops downward. In order to correct this the cartilage and bone of your bridge must be shaved down. Then the nasal bones brought together so you don't end up with a "open roof deformity'. The tip of your nose needs to be set and rotated slightly. As you can see this requires more than just a subtle rhinoplasty. As far as open... more
Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon
+1

Nasal hump reduction via surgical (rhinoplasty) and non surgical (injectable)approaches

Linux I think you are looking for what most patients want in rhinoplasty-- subtle natural results. Having surgery whether it is through an open or closed approach doesn't mean that your results have to drastic and over done. Ideally, I would recommend that the bump be surgically removed and the width of your nose narrowed. There would be no need to alter the tip of your nose. I think it is equally important to discuss supporting the nose after hump reduction. I typically place... more
Ran Y. Rubinstein, MD
Manhattan Facial Plastic Surgeon
+1

Subtle Rhinoplasty

I am not sure what exactly is mean by subtle. You have a lot of issues that need to be addressed so you have a nice result. You have a wide dorsum, a hump and a wide tip as well. All these need to be addressed during your rhinoplasty procedure. Will it be subtle or not I dont know because subtle is such a subjective term. If you want all these issues addressed you will have a nice result and a nice change. Good luck.
Farbod Esmailian, MD
Orange County Plastic Surgeon
+1

Rhinoplasty

Nothing has to be drastic. A good rhinoplasty can look very natural.  Taking down a bump and narrowing the nose is possible.  The lower 1/3 also looks a bit wide and that can be treated as well.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Rhinoplasty,

Hi Linux, I do not think that the "subtle" rhinoplasty is for you. Your results should look natural and fit your face. If you decide that you nose bothers you enough, then you should undergo a rhinoplasty to take down your dorsal hump, create a nice natural dorsal line, and have the rest of your nose shaped in proportion. You need not fear an open approach rhinoplasty. Do your homework and choose your rhinoplasty surgeon most carefully after consulting and interviewing surgeons... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Can a subtle rhinoplasty work?

You appear to have significant issues with your nose, including a vey prominent dorsal hump, as well as a broad nasal base/ tip. A 'subtle' rhinoplasty would do very little to your nose, because you have significant issues. I'm not sure what would constitute a 'subtle' rhinoplasty, but I think that in your case either an closed or open rhinoplasty would give you significant improvement to your nose. the choice of technique would be dependent on the surgeon's preference and experience. Either... more
Wilfred Brown, MD
Fairfield Plastic Surgeon
+1

Open rhinoplasty not necessary to correct wide bump.

Hi! You should definitely have a subtle rhinoplasty.  What this means is that your nose will look natural.  The bump needs to be lowered and your nose needs to be narrowed. Open rhinoplasty is only necessary when the tip of the nose is really bad.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

Rhinoplasty Surgery can narrow your nose, and reduce a bump.

If you're bothered by the profile-hump and width of your nose, Rhinoplasty Surgery can address these two issues. I don't think you're a great candidate for a Non-Surgical Rhinoplasty, since this will not narrow your bridge, and would make your nose a bit larger. You should consult a board-certified, experienced, Rhinoplasty specialist. You should request Computer Imaging to see how you'll look after your operation. You can also discuss your concerns about surgery to see if it's right for you... more
Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
+1

Your nose can be corrected just as sucessfully without an open rhinoplasty

I am not sure what you mean by wanting a "subtle rhinoplasty." You have a pretty significant bump and wide nasal bones. What I consider subtle is a natural appearing result that better fits your face yet doesn't look fixed. Some patients require a lot of surgery and some less. In a patient with a straight nose from the front like yours, having had no prior surgery, the results from intranasal rhinoplasty are equal to open rhinoplasty. You should seek out a rhinoplasty specialist to... more
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
+1

Subtle rhinoplasty to correct wide nose bump

Linux, Since you do NOT have a subtle problem - A subtle solution will not really work in your case. You appear to have a very wide nose with a significant cartilaginous hump (very reminiscent of Piero della Francesca portrait of Federico da Montefeltro Duke of Urbino - a fascinating war lord of the Italian Renaissance). Correction would require removal of the hump, possible spreader graft placement and nose in-fracturing to narrow the nose. An open approach differs from the closed approach... more
Peter A. Aldea, MD
Memphis Plastic Surgeon
+1

Rhinoplasty for dorsal hump

You would benefit from a dorsal hump reduction and then infracturing of the bones so the bridge doesn't look flat after taking the bump down. Don't be afraid of an open rhinoplasty because it gives the doctor excellent visibility and has no different recovery from a closed approach in my personal experience.
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
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