Can a Hit Cause a Permanent Dorsal Hump?

I was hit in the nose two days ago. Not extremely hard, but hard enough for it to be a little sore. It now looks like I have a subtle dorsal hump. Is this just swelling or is it going to permanently be like this? Also, it feels like there is a slight pressure where the hump is. I'm hoping the hump is just swelling, but it feels like bone.

Doctor Answers 16

Injury can cause a saddle deformity

Injury to the bridge of the nose can cause a small dorsal hump even without breaking the bones.  This can result from the upper lateral cartilages and septum getting separated from the bone and 'falling in' thus making the bony part of the nose appear to be sticking out.  This can be corrected with cartilage grafting.

Seattle Facial Plastic Surgeon
5.0 out of 5 stars 171 reviews

1110 112th Ave NE
Bellevue, WA 98004

Nasal trauma and resulting bump

Bumps after trauma to the nose are common.  There is no way to determine if the bump is permanent until the swelling goes down.  If you ice it 20 minutes on, 40 minutes off each hour for 3-4 days, the swelling will abate and you will be able to tell if there is likely to be a residual bump.  This will be within the 2 week period that the nasal bones are mobile in the event that there was a bony fracture.

Sirius K. Yoo, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

16918 Dove Canyon Road
San Diego, CA 92127

Dorsal Hump Caused by Trauma

It is in fact possible for a traumatic event such as a hard hit as you describe in your post to cause a “hump” to appear. The pressure of the impact can cause a separation between your bone and your nose’s septum, causing a hump-like appearance. I would advise that you try not to worry about your situation while your nose heals, as the condition might fix itself. However, if the dorsal hump persists, consulting a board certified plastic surgeon will help you more thoroughly evaluate your options. 

Sam Rizk, MD
New York Facial Plastic Surgeon
4.5 out of 5 stars 26 reviews

1040 Park Ave., at 86th St.
New York, NY 10028

Permanent Hump After Nasal Trauma

One can have an increase in the nasal prominence from scar tissue after nasal trauma or fracture. If it has not resolved in 3-6 months, I would seek a Board Certified Plastic Surgeon with expertise in rhinoplasty.

Rod J. Rohrich, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 30 reviews

9101 N. Central Expressway
Dallas, TX 75231

Dorsal Hump Injury

Nasal trauma is an extremely common phenomenon. These injuries are frequently accompanied by rapid onset of swelling and may result in bleeding. It can be very difficult to differentiate isolated soft tissue swelling from fractures of the nasal bones in the immediate post injury period. For this reason, it may take time for a determination to be made. After approximately two weeks, the swelling should resolve and the extent of the injury should be clear.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 142 reviews

8900 West Dodge Road
Omaha, NE 68114

Nasal trauma and dorsal hump

Trauma to the nose and results in developing a dorsal up even though the nose still appears straight.  Impact to one of the nasal bones can create a buckling effect along the midline of the nose as it meets resistance from the other nasal bone.  If this occurs a dorsal hump will develop.

Edward S. Kwak, MD
Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 12 reviews

737 Park Avenue
New York, NY 10021

Nose bump due to trauma

A blow to the nose can certainly cause problems with the underlying boneinclude a  and cartilage structures.  This may include the causing a bump.  Many bumps to the nose do not cause any permanent deformity.  It just depends on the degree of trauma.

Jay Calvert, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 32 reviews

465 N. Roxbury Drive
Beverly Hills, CA 90210

Trauma to nose can cause small dorsal hump

Getting hit in the nose can from a disruption of the bony cartilaginous junction and cause a small bump in the nose bridge.  Osteocytes create inflammation and grow more bone and calcium deposits in the area, which creates a dorsal hump.  If it has only been two days since the injury, it will certainly subside over the next couple of weeks.  Please see the link below for examples of hump removal, if the hump becomes permanent

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 70 reviews

1101 Madison St
Seattle, WA 98104

Nasal bump

A blow to the nose that happened two days ago may be nothing more than bruising. If however it broke the nose, you may have a permanent bump there.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Nasal Bump Swelling or Broken Nose

Minor injuries to the nose are less likely to actually break the bones or cartilage. It's common to have nasal swelling, but epistaxis or nose bleed is the most common sign of a broken nose. Most edema of the nose resolves with a couple weeks. Sometimes scar / callous / healing tissue forms under the skin which takes months to resolve.

Only after a comprehensive evaluation by a rhinoplasty surgeon or nasal specialist can one determine the extent of the injury and treatment options. Don't hestitate to obtain a professional opinion in-person. Best of luck.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 64 reviews

2300 M St NW
Washington, DC 20037

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.