Reduction of Minor Nasal Hump Possible?

Rasping is one technique used to remove a nasal hump.How much is removed will determine if the bones have to be broken and repostioned in addition to the rasping. Reviewing your excellent pictures, it will probably be necessary to remove some cartilage from the profile line. These procedures will not raise the tip. There is no "usual" rhinoplasty because this surgery is always individualized. You have obviously thought abut the changes you desire. Schedule a consultation with an... more

Hi Frank, Great question and photos. I often use computer imaging as you have done to plan rhinoplasty. The subtle removal of your hump can be performed by shaving off some dorsal nasal cartilage and then carefully and meticulously rasping (sanding down) the boney portion of the hump. Your desired outcome is reasonable and should be attainable. I have many subtle rhinoplasty patients pictures where their are 3 profile photos. The "before", the "computer image", and... more

Based on the imaging you did of your profile, I would say it is possible to get that change without osteotomies. However, if you were my patient, I would have to have the option of doing bone work if your profile reduction resulted in an "open roof" deformity during the surgery. This is a situation in which, due to profile reduction, a gap exists between the nasal bones along the bridge. If you think of the nose like a triangle, then removing the top of it results in a space... more