Filing Down the Dorsal Hump?

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?

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51 Doctor Answers | Asked by Star05 in Neport Beach, CA, USA

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Dorsal hump

A small dorsal hump can be approached through a closed rhinoplasty technique. The dorsal hump can be addressed other by filing down the nasal bones for trimming the dorsal cartilage. It the hump is very small and is largely due to excess dorsal cartilage then nasal bone osteotomies may not be required.

Edward S. Kwak, MD

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Manhattan Facial Plastic Surgeon

www.eskfps.com

Filing down a nasal hump in closed rhinoplasty

If the only issue with your nose is the hump, you can absolutely have this addressed with a closed, or endonasal rhinoplasty. In most cases, the hump is comprised of both bone and cartilage and some combination of shaving, filing, and chiseling the hump is utilized. The important preoperative assessments for the surgeon are the size of the hump, the degree to which the patient wants to lower the bridge, and the length of the nasal bones. If the patient does not desire a... more

Small nasal hump can be removed with a Closed Rhinoplasty

If the nasal hump is small and consists only of extra nasal bone a simply filing with a closed rhinoplasty approach is sufficient. If the hump is larger or involves the upper lateral cartilages of the middle of the nose than simple removal may cause a flat spot called an open roof deformity. When this is the case the nasal bones nee to be brought closed together by infracturing the nasal bones to recreate the natural pyramid of the nose.

Hump Removal via a Closed Rhinoplasty

Patients with a dorsal hump are ideal candidates for closed rhinoplasty. A dorsal hump is usually comprised of both bone and cartilage. To remove a hump, an incision is made on the inside of the nose and a rasp is used to "file" the bony portion of the hump. If there is a cartilaginous component to the hump, this is trimmed with a scalpel. One result of a hump removal is that it makes the bridge wider and may require osteotomies (breaking the nasal bones) to narrow the width of... more

Closed Rhinoplasty

If your only issue is a dorsal hump, a closed rhinoplasty can be a great way to treat the contour of the dorsum with rasping. Rhinoplasty surgery is very complicated and the balance, shape and integration of the structure of your nose with the rest of the face is a critical consideration when planning what you do and don't need. In my San Francisco area practice we spend significant time analyzing the face. Make sure that your plastic surgeon spends considerable time discussing things... more

Rhinoplasty Surgery & Correcting the Dorsal Hump

Closed rhinoplasty can often be utilized to correct small isolated dorsal humps. In most cases, these humps consist of both cartilage and bone. Correction involves filing the bone and shaving the cartilage. In many cases, infracture of the nose can be avoided when nasal humps are small. When nasal humps become larger, fracture of the nose is necessary to avoid secondary aesthetic issues. It’s essential that a careful analysis of your nose be undertaken prior to surgery. Each patient has... more

Closed rhinoplasty for dorsal hump removal

This approach may work very well. Each individual is different. One may need cartilage trim. One may need in-fracturing. Best to see an experienced rhinoplasty surgeon. Take a look at the before/after photos. Visit with a few. Ask your questions. Together, you should be able to garner a plan to achieve your goals.

Dorsal hump rhinoplasty

It depends on the size of the hump. If it is small, then you can simply file this down without external incisions. However, if it is larger, you may need osteotomies. That portion of the nose (dorsum) is shaped like a tent, if you take off of the top part, the sides will no longer be in contact with the top and it will look like a trapezoid, leading to a broad appearance of the dorsum and an "open roof deformity". The osteotomies allow the nasal bones to come in... more

Definitely yes

Small or large dorsal humps can be reduced using closed rhinoplasty techniques. However, even with many small dorsal humps, the bones may need to be narrowed because once the hump is removed, the dorsum will appear wider and you may see and feel sharp edges of the nasal bones. The surgeon should be able to tell you by looking at the size of your hump if he/she would need to break the bones to make the dorsum narrower. Further more, even with small humps, spreader grafts... more

Removing a Bump (Dorsal Hump) without Breaking the Nose Bones

Yes, this is possible. A closed approach (sometimes called an endonasal rhinoplasty) can be used to gain access to the nose bones from inside the nose. Then, the areas of concern can be filed (using an instrument called a rasp). As long as this does not create a flat bridge or an open roof (where the two sides of the nose don't meet in the middle), so further work on the bones is required. Best of luck moving forward!