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Would Filing Down the Dorsal Hump Be Suitable to Improve the Profile of my Nose?

asked 1 year ago by joe2412 in London
Latest answer by Daniel Reichner, MD
Question viewed 1,247 times
Tags: nose, male, dorsal hump, profile

I'm unhappy with the profile of my nose. (I don't have a problem with it face on.) I'm asking whether i appear to be suitable for such a procedure, what the risks are, and whether filing/rasping the nose is usually cheaper than a rhinoplasty that involves breaking bones. I have read that 'shaving down a bony hump may cause a flattened appearance which will then need to be infractured to close the the "open" roof.' Would this all be done in one session?

14 answers to Would Filing Down the Dorsal Hump Be Suitable to Improve the Profile of my Nose?

+1

Improving Nasal Profile

The hump can be removed so you have a strong, straight profile. It will be necessary to reposition the nasal bones during the same surgery to avoid a wide, flat "open roof" appearace.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+1

Rhinoplasty Hump

Good photography.  You would be a good candidate for rasping down the nasal hump.  In your case, based on the size of your hump and narrowness of your nasal vault,  I don't think you need osteotomies. 
Daniel Reichner, MD

Newport Beach Plastic Surgeon
+1

Removing dorsal hump to improve profile

Performing a rhinoplasty usually includes taking the bone and cartilaginous hump down. Once this is done, osteotomies are performed to complete the dorsal reduction and prevent open roof deformity. Most rhinoplasty procedures are all done in one session. There is approximately 10% chance of having to perform a touchup or revision rhinoplasty within the first year after the surgery in case a small hump grows back.
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Simple rasping down of dorsum

We are at a point in plastic surgery where many people who have minor issues with their appearance can be helped.  A rasping of the dorsum can be performed without other procedures under mild sedation.  If the rasping is extensive then other additional procedures may be required. Best, Tal Raine MD
Talmage J. Raine, MD

Chicago Plastic Surgeon
+1

Dorsal Hump Improvement Rhinoplasty

Yes, nasal humps may be improved with rasping, filing, or burring down the nasal bones. Dorsal humps are made of bone, cartilage, or both. Once the bump is treated, then the nasal bones may need to be brought closer together to "close the open roof". Your plastic surgeon will help determine if bone in-fracture is required prior to rhinoplasty surgery. This nasal bone narrowing would be done at the same time as hump reduction, and normally is included in the cost of rhinoplasty.... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Filing a Hump off the back of the Nose would require in breaking of the Nose

From the photos provided, your nose is eminently fixable. The hump can be reduced by filing or power burring but the lower smoother roof of the nose will be wide and poem. In-fracturing of the walls would be required to convert the nose from a wide, open roofed nose to a narrow more attractice nose.
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Reducing the dorsal hump and infracture in rhinoplasty

Reduction of the dorsal hump is possible through rasping the bones, and this may result in an open roof where the nasal bones are separated from the septum. Achieving a smooth dorsum would then require infracture to reposition the nasal bones. All of these maneuvers would be possible in one operative session.
Olivia Hutchinson, MD

New York Plastic Surgeon
+1

Dorsal hump

Filing down the dorsal hump is reasonable but you will probably need infracturing. Also in the front view you have some curvature( or shadowing from the photo) that you may want corrected.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Dorsal hump

I would first thank you for the excellent photos. And yes I would file down the hump very slightly than do a fracture. That is my opinion. From MIAMI DR B
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Consider a filler for the root of the nose

Another option to consider that requires little expense and virtually no downtime is to fill in the radix of the nose (the indentation above the hump and below the brow ridge). This provides a straight profile by camouflaging the bump at the expense of a slightly larger but more proportionate nose. This is an in-office, local-anesthesia-only procedure with essentially immediate results. I would start with a temporary filler such as Juvéderm first to see whether the patient likes... more
David C. Pearson, MD

Jacksonville Facial Plastic Surgeon
+1

Conservative rhinoplasty

Based on the photos you've submitted, I think rasping the dorsum of the nose will certainly help achieve your goals, but you may very well need some refinement to the tip to create a nice balance and overall improved look.  I would seek out an experienced rhinoplasty surgeon to evaluate things but I think you should have a very nice result.#fb
Shahram Salemy, MD

Seattle Plastic Surgeon

www.drsalemy.com

+1

Rhinoplasty for bump and profile refinement, and reducing bulbous tip.

Yes, a rhinoplasty would accomplish your goals and improve your profile. See an experienced rhinoplasty surgeon who does natural noses and you will be happy with the results.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon
+1

Open roof deformity following RASPING or filing of prominent nasal hump or bridge (nose job rhinoplasty)

I don't think that your hump is all bone and therefore I believe you would benefit from filing PLUS cartilage resection which will leave you with an open roof. In  very thick skinned individuals this could be acceptable. However, your skin will likely reveal a visible open roof rather than camouflage it. see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Filing will help nasal profile

The bony hump can be reduced with filing.  It is hard to say much more about your situation with out seeing and feeling the nose directly.  You seem to know the issues related to hump reduction as to the need for bone infracturing.  If you only need a small amount of reduction you may be able to get your desired results with just rasping.  Sometimes you will not know the answer to this until surgery. Best Wishes Dr. Peterson
Marcus L. Peterson, MD

Saint George Plastic Surgeon

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