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Small Dorsal Hump Removal for Wide Asian Nose

asked 2 years ago by bee78 in Brooklyn, NY
Latest answer by Charles S. Lee, MD
Question viewed 1,877 times
Tags: nose, dorsal hump, bump, wide

I'm interested in removing my dorsal hump. I am Asian, so my nose is wider than the average Caucasian nose. I don't want any other parts of my nose changed; just the bump (height only), not the width nor the tip. I am hoping the procedure would be minimally invasive (no breaking of bone?) and possibly on the cheaper end of the rhinoplasty spectrum. The bump can even be just minimized, not completely removed--I don't want the change to be obvious. Any advice?

17 answers to Small Dorsal Hump Removal for Wide Asian Nose

+1

Slight hump on Asian nose

Pictures are needed but in many cases, you can shave just a little of the bone and build up the area between your eyes using your own tissues. This balanced approach to straightening your bridge can avoid the need for moving in the bones or other major work. It would be considered a more minor procedure on the spectrum of nasal surgery.
Charles S. Lee, MD

Los Angeles Plastic Surgeon
+1

Dorsal Hump Removal

Hello, I would really need to see photos in order to give you the best advice. Hump reduction may lead to an open roof deformity, and in this case you would need an osteotomy. Please feel free to send any photos to my office and I would be happy to evaluate them for you. Thank you, and best of luck to you. Dr. Nassif
Paul S. Nassif, MD

Beverly Hills Facial Plastic Surgeon
+1

Lump removal for wide Asian nose

Answer: More often than not, characteristic Asian noses are wide with either an absent lump or a very slight elevation of the bony height (dorsum). This dorsal hump can be removed by rasping or shaving the bone. However, if this procedure is performed without osteotomies, the bony dorsum region will probably appear somewhat deformed and even give a wider appearance of the nose. There will be a squared-off look with probable sharp bony edges and a palpable open space in the middle... more
Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon
+1

Dorsal hump removal in Asian rhinoplasty

Rhinoplasty is generally not performed in an a la carte manner. In other words, your rhinoplasty surgeon is likely going to have a particular fee to perform rhinoplasty. You may save on operating room time but, that will be a relatively small amount. Having said that, it would be difficult to comment extensively on your nose without seeing you but, hump reduction in an already widened nose may make your nose appear even wider. There is also a limit to how much you can lower a dorsal hump in... more
Philip S. Schoenfeld, MD

Chevy Chase Facial Plastic Surgeon
+1

Asian rhinoplasty

Once a bump is removed from the dorsumof the nose, the nose can appear wider. There is a limit that shaving the bone can accomplish. After that, a minor osteotomy is necessary. An experienced rhinoplasty surgeon will guide you through whether an osteotomy is advisable or not. You don't want to have to go back for a redo just because you were hung up on having it done a certain way! The nasal bone length differs greatly from patient to patient, also a factor in deciding the hump vs. width... more
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+1

Dorsal hump on Asian nose

Bee, Theoretically anything is possible. If it is only a little shaving of the dorsum, that can be done relatively easily and should be on the less expensive side as you suggested. Usually that does not need any repositioning of the bones either. The only thing I cannot tell you is if it would be the appropriate procedure in your particular case. For that you really need to have a face to face consultation with a board certified plastic surgeon. They can look at your nose and decide if... more
Robert B. Pollack, MD

La Jolla Plastic Surgeon
+1

Minimal change in Asian rhinoplasty

Removal of a dorsal hump can be minimally invasive and minimally traumatic and performed under sedation without going to sleep. It would also be quite affordable. All the best, Talmage J. Raine MD FACS
Talmage J. Raine, MD

Chicago Plastic Surgeon
+1

Removal of small hump in Asian rhinoplasty

Removal of just a small hump without changing anything else in a nose is in general a smaller surgery that can be done via an endonasal ("closed") approach.  Being that it is a smaller surgery, then yes, it would be a cheaper price.  A thorough in-person examination is necessary.  Special considerations must be made for the nasal bony and cartilaginous structures that contribute to your nasal hump and whether the hump removal might... more
Thomas T. Le, MD

Baltimore Facial Plastic Surgeon
+1

Removal of dorsal hump on wide Asian nose

A dorsal hump removal on an Asian nose can be performed through closed rhinoplasty technique. The more hump that is removed, the wider the bridge will appear. If a moderate hump is being removed, then the nasal sidewalls will need to be narrowed to make the nose balance. Otherwise, an open roof deformity and a flat top nose will result, which will be unsightly. A small hint of a bump can be left behind to give a natural appearance, and the bones will most likely not have to be broken.... more
William Portuese, MD

Seattle Facial Plastic Surgeon
+1

Small Nasal Hump Removal

Minimal nasal hump removal without ostetomies is possible, but limited improvement will be achieved. Unable to see your nose, I recommend you see an experienced rhinoplasty surgeon. You also mentioned that you preferred a "cheaper" solution. Within reason, don't select a procedure based on cost; remember, the results will last a lifetime.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Dorsal hump in Asian Nose

WIth a minimal dorsal hump, you may be able to get away with only rasping it down a bit.  It would be difficult to tell you without examining you.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Even a small hump on a wide nose can pose a challenge

When the nose is broad as it can be in those of Asian descent even a small hump over the bridge can be a challenge. Just imagine though a triangle with a narrow base in which the top is clipped off as a nasal hump would appear after a trim to lower it down. As the base of the triangle is broadened as in a particularly wide nose, as the hump is clipped or trimmed down, the bridge becomes excessively flat and wide as well. The solution can be nasal fractures to bring the bridge back into... more
Peter E. Johnson, MD

Chicago Plastic Surgeon
+1

"Hump" only nose job (rhinoplasty)

Depending on the amount to be removed, this could be managed with rasping only without cutting the bones. This would be consderably less invasive with less downtime and less cost when compared to a traditional rhinoplasty. The primary concern is the development of an "open roof" deformity which may require more agressive surgical treatment and will certainly limity the degree to which the hump can be treated,
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

You must be seen by a plastic surgeon

It is hard to give advice without seeing your nose. Make an appointment for a complimentary consultation and I can let you know what can and what can't be done. Regarding cost, remember, you get what you pay for. Noses are one of the most difficult operations we do, and it you want it done right, you shoud go to a doctor with a good experience in noses including Asian noses.
William B. Rosenblatt, MD

New York Plastic Surgeon
+1

No shortcuts for Rhinoplasty

The previous poster, Dr Pearlman, summed it up perfectly. There are no short cuts in rhinoplasty surgery. The cost are approximately the same whether you only remove the hump, or do a full rhinoplasty. The operating room and anesthesia are essentially equal. The operating room time are close to the same. So where are the cost savings? Also there is the possibility if the hump is removed you may need fracturing to close the open roof of the nose. So go see 3 boarded surgeons. Regards. more
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Small bumps on the nose can be removed without an entire rhinoplasty

Removing any bump on the nose, or any part of rhinoplasty, for that matter, is never considered minimally invasive in my book. It is still surgery. As for cost, if it really is only a bump, it will cost less than a full rhinoplasty. The part about not breaking the bones; that really depends on how much of a bump is removed. If a significant bump is removed, it is like taking the top off a pyramid, it will leave a gap called an "open roof." Breaking the bones is really done... more
Steven J. Pearlman, MD

New York Facial Plastic Surgeon
+1

Minimal hump reduction

Hi Bee- It's hard to answer your question without performing a physical exam. However, just removing a dorsal hump usually entails a simple procedure performed through a closed approach (no visible scar). As far as avoiding "breaking of bone" this may or may not be possible. If too much bone is removed in the process of the dorsal hump reduction then osteotomies (breaking bone) are necessary. If, however, as you say, you only want a minimal reduction, this may be possible to... more
Elan B. Singer, MD

Manhattan Plastic Surgeon

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