Small hump can be fixed via closed rhinoplasty

Reducing or smoothing a small nasal hump is a simple procedure that can easily be done via a closed rhinoplasty.  A very small hump will likely be taken care of with simply rasping the bone down.  Any cartilaginous contribution can also be easily removed.  However, the final determination whether nasal bones need to be cut can only be made at surgery because there's always a risk an open roof deformity results after the hump is shaved down.  If this happens, the nasal bones must be cut to mobilize them and then medialize them to close the deformity.   

If your only issue is a dorsal hump, a closed rhinoplasty can be a great way to treat the contour of the dorsum with rasping. Rhinoplasty surgery is very complicated and the balance, shape and integration of the structure of your nose with the rest of the face is a critical consideration when planning what you do and don't need. In my San Francisco area practice we spend significant time analyzing the face. Make sure that your plastic surgeon spends considerable time discussing things like the projection of your nose, the angle of the tip, the shape of the tip of your nose, the shape and contour of your nostrils, the balance of your nose in comparison to the shape and projection of your chin, etc. (the list of things to review is actually quite extensive). If at that point your surgeon and you agree that it is only the dorsal hump should be addressed then a closed rhinoplasty is an effective way to treat this.

I hope this helps.

Steven Williams, MD

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