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Correcting Dorsal Hump Without Changing Nose Shape?

I have an otherwise perfect nose, except for a huge dorsal hump that I developed after entering highschool. I am now 18 and looking to get a nose job.

Doctor Answers (14)

Sidewalls of nose are narrowed after large dorsal hump removal

+1

After removal of the large dorsal hump that is present, then the sidewalls of the nose will need to be narrowed to prevent open roof deformity. The sidewalls of the nose have to be narrowed; otherwise the bridge will have a flat top effect. It is also important to make sure that the remainder of the nose is in balance with the new shape of the bridge. There are occasions when the tip does not have to be altered.


Seattle Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Nasal Hump

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When you change one thing during rhinoplasty, it will usually have an impact on other parts of the nasal anatomy. For example, removal of a large hump may necessitate repositioning the bones. Within reason you can limit what is done; a full rhinoplasty is not necessary. You and your surgeon can decide pre-operatively what will change.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

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Correction of dorsal hump

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There are several ways of performing facelift operation, all of which can give excellent results. Review some photos from the surgeons that you are leaning towards choosing. Seeing acutal results should give you confidence in that particular surgeon's technique. The options that have been offered to you are all accepted methods of performing facelift surgery.

Maurice M. Khosh, MD
New York Facial Plastic Surgeon
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Large Dorsal Hump Removal Without Changing the Nose

+1

The dorsal hump removal can be done without changing the tip of the nose but the dorsum will certainly change in terms of your profile view. The change in the shape is usually esthetically pleasing.

Regards

Take a look at the link below.

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 25 reviews

Endonasal or open rhinoplasty will allow correction of dorsal hump

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You can have the dorsal hump corrected by either endonasal or open rhinoplasty approach. Removing the hump will require doing additional lateral osteotomies or fine chisel cuts to close the open roof created by the hump removal to adequately narrow the dorsum of the nose. In addition the surgeon will need to pay particular attention the the status of the upper lateral cartilages to ensure no resultant internal nasal valve compromise results from trimming these structures to complete dorsal refinement. He can prevent this with prophylactic spreader grafts or other techniques if necessary. Good luck

Harrison C. Putman III, MD
Peoria Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Removing a nose hump or bump.

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Although the hump may be large, the bones are very thin. Removing the hump will end up cutting through the bones similar to cutting off the peak of a roof. This would create an "open roof" and that is exactly what we call it. This open roof needs to be closed by bringing the two sides together. That will cause a change in the shape of your nose.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 48 reviews

Dorsal hump removal WITHOUT changing nose shape

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Dear Ss48,

No. That is impossible.

The appearance of the nose resembles that of a flipped boat. Imagine what the boat would look like if you took a chainsaw and removed a large portion of the bottom of the boat and then threw a pliant tarp on it. The tarp would make the boat look like it has a wide, flat bottom.

After the mere removal of the nasal dorsal hump WITHOUT anything else, allows the skin to re drape over the , now shortened, side walls of the nose, making the nose appear lower and MUCH wider just like a flipped, flat bottom boat.

For this reason, to close the roof, the side walls of the nose need to be broken (osteotomized) and their tops brought together. That would recreate a keel like shape to the lower profile nose which gives it a narrower appearance when viewed from the front.

I hope this was helpful.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 66 reviews

Removing a dorsal hump involves more than you might think

+1

It is tempting to think that one can simply "chop off" a dorsal hump on the bridge of a nose. But there are several things that you must realize about this procedure.

1. When you reduce a hump, you are lowering the height of the bridge of the nose. Because the nose sits on your face like a triangular pyramid, lowering the bridge results in removing the narrowest part of the pyramid and you are left with a wider portion. So there may be a tendency for your nose to appear wider on the front view after hump reduction. The amount of widening depends on how thick your skin is, how much the bridge is narrowed, and how wide you were from the start.

2. Once a hump is removed and the bridge is lowered, the skin must then drape down onto the reduced infrastructure. For patients with thin skin and a small or medium hump, this is not a problem. If you have thick skin, especially if a lot of reduction is done, the skin may not be able to drape cleanly onto the structures of the nose. In these situation, the skin remains a bit raised above the bone and cartilage of the dorsum, and some outward fullness remains. This is called a soft-tissue polybeak deformity.

3. If the hump involves the cartilage part of the dorsum, removing it may lead to collapse of the cartilages that form the middle part of your nose.

So in summary there a lot of things to think about before going through a procedure like this. Rhinoplasty is a complex operation with many variables and considerations, even for a change that you might think is simple. the best thing to do is to do your homework and seek treatment from someone who has a lot of experience with rhinoplasty.

David W. Kim, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 22 reviews

Rhinoplasty, Correcting the Dorsal Hump Without Changing the Shape of the Nose

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Hi S,

Without a photo it is difficult to answer your question. Usually the larger the dorsal hump, the more that needs to be removed, and the greater likelihood of needing lateral nasal bone osteotomies (breaking the bones) to bring the side walls of the nose back together, closing the "open roof" that was left after the hump removal. Once those changes are completed, it may be necessary to blend the remaining lower 2/3's of your nose with the modified dorsum.

That having been said, it is possible to perform subtle rhinoplasty where the hump alone is addressed.

You need to consult with a few rhinoplasty specialists and discuss what bothers you about your nose, and what post-operative result you would be satisfied with. Most importantly choose your rhinoplasty surgeon very carefully.

Please send us photos of your nose.

Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.