Achieving Straight Dorsal Hump?

I want to remove a large dorsal hump, deproject the nose slightly and remove a hanging columella. Is it possible to change the shape of my dorsal hump so it is dead straight (maybe have a slight convex curve) with no bump or supra tip break? When i asked a surgeon he said its not possible to make it straight but will have to have a bump near the bridge and a slight 'break' lower down near the tip. Was he right? Also does raising the tip by raising columella prevent the dorsal hump straight?

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10 Doctor Answers | Asked by JohnL

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Straight nasal profile is possible with rhinoplasty

It is certainly okay to perform a conservative rhinoplasty and leave a small hump present. However, it is best to find a surgeon who has performed many rhinoplasties and make sure there is good communication between the patient and the surgeon. In addition, computer imaging done at the consult would help to express exactly what the patient wants. It is possible to give a straight profile without a convexity or concavity and the columella can be trimmed back to give the effect of... more

Straight Dorsum with Rhinoplasty Surgery

John, in my opinion it is definitely possible to achieve what you are envisioning. Changing the columella and tip can be done independently of keeping the dorsum straight. Here is a link below to one of my online chapters that focuses on management of the dorsal hump deformity. Wishing you the best of luck!

I want a straight dorsum

It is difficult to give you a recommendation for your nose without a consultation and good photographs. Men typically desire a strong dorsum, even with some convexity. It should be possible to acheive this for you. The issue of a "hanging columella indicates to me that you may have poor columella support there and this and your tip will need some work. This will not address the issue of the dorsum though. The concept of a balanced nose comes to play here, that one change in a part of the... more

Straight Dorsal Line FRom Rhinoplasty

There should be no reason why you shouldn't have as the objective a straight dorsal line if that is what you want. If the nasal bones were only going to be rasped, then a straight line is not achievable. But if the hump is more significantly reduced and osteotomies are used to close the resultant open roof, getting a straight dorsal line should be possible...or at least close as possible. With good dorsal line reduction, elevating the tip is more likely to result in a supratip break. For... more

Creating a straight profile with hump reduction

It is possible to create a straight profile with hump removal if you prefer that look. It sounds like you're looking to maintain a more masculine appearance which is very common among male patients. You should be able to have your tip projection reduced and hanging columella addressed at the same tip. Check out my web reference link below to learn more.

Can I have the nose shape that i want?

Yes, the slope of the bridge of your nose can be adjusted to any level. The bridge can be left slightly full, dead straight, or slightly lower than the tip with a "supra-tip break" (tip projecting slightly beyond the slope). Generally, the bridge of the nose, or "slope", should be slightly lower than the tip projection for optimal aesthetics. However, for men, this can be feminizing if done too low, and needs to be carefully discussed before surgery. There... more

Rhinoplasty, nose surgery

Addressing dorsal humps, small, medium or large ones are the most common steps in rhinoplasties. Feminine noses , they have gentle concave dorsum with tips being the most projectile part of the nose. masculine noses, usually have staight dorsum or with a very minimal concavities. An experienced plastic surgeon can reshape the dorsum od the nose accordingly, by reducing the bony part , cartilaginous portion of the dorsum or both by open or closed rhinoplasty. In order to have aesthetically... more

Straight nose

A straight nose both in the frontal (portrait) and profile view is a common goal of most rhinopasties. it seems as if your question relates to the profile view. if i understand you question you seem to want to have a straight line from the the nasio (take off point between the eyes) and the tip. (ie no hump no suprtip break). this is the desired configuration for a man, while in a women one would aim for a slight supratip break). you posted with the name johnl... more

Types of nasal profile possible with rhinoplasty.

During rhinoplasty, careful planning and technique can result in either a convex, straight or concave profile. A supratip break is commonly used when the goal is a gently concave profile. Working on the columella should not affect the dorsum. Mario J. imola, MD, DDS, FRCSC.

Straight Dorsal Profile after Rhinoplasty

I respectfully disagree with your surgeon and feel that a patient can have a straight profile without a supra-tip break after hump removal. Maybe you misunderstood because this is something I frequently do. Raising a hanging columella will have no effect on your hump.