I have a small dorsal hump that I would like to get fixed on my nose, and was considering closed rhinoplasty. The plastic surgeon informed me that he could just go in and file it down without breaking or fracturing any bones. Does this sound like a good idea? The absolute only thing I want done is the hump shaved down, and it is very small. Will any other part of my nose need fixing if the surgeon simply files the hump down?
Answer: The dorsal hump and the dorsal aesthetic lines It is common for patients to have 1 or 2 things that really bother them about their nose. One of the most common concerns that prompts patients to seek rhinoplasty is the dorsal hump (bump). In many instances there are other aspects of the nose that could be improved simultaneously during rhinoplasty; some common problems include tip shape and position, crookedness, and poor nasal airflow. However, often times these problems are imperceptible to the patient presenting for rhinoplasty as they are focused on their major concern. Following surgery, these other problems may be more apparent to the patient once the major concern has been addressed. Additionally, reducing or reshaping the dorsal hump alone can cause a change in the relative proportions of the nose leading to an unbalanced look. Finally, reducing the dorsal hump without adequately addressing the nasal bones and transition point from the bones above to cartilages below can lead to several deformities and a suboptimal look. When widely situated bones are not osteotomized (broken) and moved in after the hump is taken down, problems including excessive width at the site of the dorsal hump on frontal view or an inverted-V deformity (upside down shadowing in the shape of a V on frontal view) may be created. The dorsal aesthetic lines can also appear flared and irregular in the area of the hump. The dorsal aesthetic lines are visible on frontal view and are the right and left light reflections that start at the medial aspects of the eyebrows, gently taper inward, proceed in straight down the right and left sides of the dorsum and then gently taper outward at the tip. Creating smooth and straight dorsal aesthetic lines should be a goal as well when reducing a dorsal hump as problems from the frontal view are very bothersome to patients since most of the time that we tend to see ourselves is straight on while looking in the mirror. Ill-defined or irregular dorsal aesthetic lines tends to be a common complaint from patients seeking revision rhinoplasty.
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CONTACT NOW Answer: The dorsal hump and the dorsal aesthetic lines It is common for patients to have 1 or 2 things that really bother them about their nose. One of the most common concerns that prompts patients to seek rhinoplasty is the dorsal hump (bump). In many instances there are other aspects of the nose that could be improved simultaneously during rhinoplasty; some common problems include tip shape and position, crookedness, and poor nasal airflow. However, often times these problems are imperceptible to the patient presenting for rhinoplasty as they are focused on their major concern. Following surgery, these other problems may be more apparent to the patient once the major concern has been addressed. Additionally, reducing or reshaping the dorsal hump alone can cause a change in the relative proportions of the nose leading to an unbalanced look. Finally, reducing the dorsal hump without adequately addressing the nasal bones and transition point from the bones above to cartilages below can lead to several deformities and a suboptimal look. When widely situated bones are not osteotomized (broken) and moved in after the hump is taken down, problems including excessive width at the site of the dorsal hump on frontal view or an inverted-V deformity (upside down shadowing in the shape of a V on frontal view) may be created. The dorsal aesthetic lines can also appear flared and irregular in the area of the hump. The dorsal aesthetic lines are visible on frontal view and are the right and left light reflections that start at the medial aspects of the eyebrows, gently taper inward, proceed in straight down the right and left sides of the dorsum and then gently taper outward at the tip. Creating smooth and straight dorsal aesthetic lines should be a goal as well when reducing a dorsal hump as problems from the frontal view are very bothersome to patients since most of the time that we tend to see ourselves is straight on while looking in the mirror. Ill-defined or irregular dorsal aesthetic lines tends to be a common complaint from patients seeking revision rhinoplasty.
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CONTACT NOW Answer: Yes, you can Good question. This is a very common request for patients that have a small dorsal hump but otherwise like the look of their nose. In patients with small humps, sometimes it's possible to simple shave down the bone and trim down the cartilage slightly through a closed rhinoplasty. You only have to break the bones if you have to shave off a lot of bone at the top that would leave behind an "open roof" deformity, where the nasal bones are flat and have an opening up top, in which case they should be broken to close the deformity formed by rasping. The other scenario is to narrow the nose or straighten the bones. Hope that makes sense! -David Mattos, Harvard trained plastic surgeon
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CONTACT NOW Answer: Yes, you can Good question. This is a very common request for patients that have a small dorsal hump but otherwise like the look of their nose. In patients with small humps, sometimes it's possible to simple shave down the bone and trim down the cartilage slightly through a closed rhinoplasty. You only have to break the bones if you have to shave off a lot of bone at the top that would leave behind an "open roof" deformity, where the nasal bones are flat and have an opening up top, in which case they should be broken to close the deformity formed by rasping. The other scenario is to narrow the nose or straighten the bones. Hope that makes sense! -David Mattos, Harvard trained plastic surgeon
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August 25, 2017
Answer: Isolated dorsal hump removal Thank you for this great question which many patients contemplating or undergoing this procedure are sure to ask. Dorsal humps can be bony, cartilaginous or in the majority of cases, a combination of both. If a dorsal hump is pretty large, then removal will result in a flattened appearance on the top of the nose called an "open sky deformity" which usually requires osteotomies (surgically breaking the nasal bones to move them in) to correct. If the hump is small, however, it may be removed without having to do additional procedures such as osteotomies. A small, isolated dorsal hump is indeed something that could be addressed through a closed approach (only internal incisions). An in-person consultation with a Rhinoplasty specialist is recommended to learn about your options, and don't forget that seeking out a second opinion is also quite useful if you have any questions/concerns. Hope that helped! Best, Dr. Roy.
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Answer: Isolated dorsal hump removal Thank you for this great question which many patients contemplating or undergoing this procedure are sure to ask. Dorsal humps can be bony, cartilaginous or in the majority of cases, a combination of both. If a dorsal hump is pretty large, then removal will result in a flattened appearance on the top of the nose called an "open sky deformity" which usually requires osteotomies (surgically breaking the nasal bones to move them in) to correct. If the hump is small, however, it may be removed without having to do additional procedures such as osteotomies. A small, isolated dorsal hump is indeed something that could be addressed through a closed approach (only internal incisions). An in-person consultation with a Rhinoplasty specialist is recommended to learn about your options, and don't forget that seeking out a second opinion is also quite useful if you have any questions/concerns. Hope that helped! Best, Dr. Roy.
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July 6, 2017
Answer: Closed Rhinoplasty Hello,The closed rhinoplasty is the best way to remove bone and cartilage in hundreds of micro-millimeter slivers to slowly and carefully sculpt the profile to the perfect balance. If your dorsal hump is small enough you will not need anything else done to the nose. On occasion, once you change the dorsal hump the nasal tip needs to be defined as well. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210
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Answer: Closed Rhinoplasty Hello,The closed rhinoplasty is the best way to remove bone and cartilage in hundreds of micro-millimeter slivers to slowly and carefully sculpt the profile to the perfect balance. If your dorsal hump is small enough you will not need anything else done to the nose. On occasion, once you change the dorsal hump the nasal tip needs to be defined as well. All the best, Deepak Dugar, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210
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March 13, 2017
Answer: Filing down dorsal hump A dorsal hump can be filed down easily through a closed rhinoplasty incision by a surgeon experienced in closed rhinoplasty technique. Whether or not that will change the shape of your nose will depend on the preoperative shape of your nose, the amount of hump and the skill of the surgeon.
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Answer: Filing down dorsal hump A dorsal hump can be filed down easily through a closed rhinoplasty incision by a surgeon experienced in closed rhinoplasty technique. Whether or not that will change the shape of your nose will depend on the preoperative shape of your nose, the amount of hump and the skill of the surgeon.
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August 14, 2016
Answer: Why the nose usually has to be broken during hump reduction In the majority of cases the nasal bones have to be infracted after bony nasal hump reduction to avoid a "open roof deformity". There are some exceptions. If you have a tiny hump with an already narrow bridge the hump can be shaved down as long as there is no open roof post shaving. This will also help improve the appearance of a narrow nasal bridge giving it a more normal appearance especially in situations where the tip is wider for a more balanced look. The second scenario is if the dorsal bump is mostly made out of cartilage and there is no open roof deformity after hump reduction. This situation has the greatest risk for inverted v deformity if spreader grafts aren't placed for support post hump reduction.
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Answer: Why the nose usually has to be broken during hump reduction In the majority of cases the nasal bones have to be infracted after bony nasal hump reduction to avoid a "open roof deformity". There are some exceptions. If you have a tiny hump with an already narrow bridge the hump can be shaved down as long as there is no open roof post shaving. This will also help improve the appearance of a narrow nasal bridge giving it a more normal appearance especially in situations where the tip is wider for a more balanced look. The second scenario is if the dorsal bump is mostly made out of cartilage and there is no open roof deformity after hump reduction. This situation has the greatest risk for inverted v deformity if spreader grafts aren't placed for support post hump reduction.
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