After Hump Was Removed In Primary Surger, My Nose is Flatter and Wider. Can I Get It Back To Where It Was?

asked 8 months ago by Manhattan3425 in Manhattan, NY
Latest answer by Shepherd G. Pryor, MD
Question viewed 322 times
Tags: 6 months post-op, flat, options, unhappy, wide

I had a small bump removed that used to lay directly where my bridge started. Now, with it gone, my nose looks much wider and flatter. It has been six months since my primary - is there any way to make my nose less wide and flat? Is it possible to have the bump put back?

9 answers to After Hump Was Removed In Primary Surger, My Nose is Flatter and Wider. Can I Get It Back To Where It Was?

After Hump Was Removed In Primary Surger, My Nose is Flatter and Wider. Can I Get It Back To Where It Was?

Without pictures, it's difficult to evaluate but you'd want to be certain that you do not have an open roof deformity. This occurs when a nasal bony hump is removed wothout breaking the nasal bones towards the midline. If this is the case a revision Rhinoplasty where the bones are broken would be required. This would not give you the hump back but would narrow the nose and close the open roof deformity, if one exists.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Repairing a wide nose after hump removal

The answer is absolutely. Essentially when taking down a dorsal hump deformity, if too much is removed, you create what is called an "open roof deformity." The nose goes from a triangular shape to a rectangular one. If recognized appropriately at the time of surgery, or is planned for, then lateral osteotomies will renarrow the dorsum and recreate a triangular shape. At this stage now, what you may benefit from is both augmentation of your dorsum to give you... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

www.valleyfacialplasticsurgery.com

"Flatter" Nose after Nasal Hump Removal

You say that you want your old nose back, but I suggest that you narrow the bridge without replacing the hump. Careful evaluation by your physician or an experienced revision rhinoplasty surgeon will determine what should be done to improve your result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

The sides of your nose can probably be brought closer together.

Hi. 1) As some of the other doctors say, you probably have an "open roof" deformity. This can be corrected by bringing the nasal bones and cartilages closer together to "close the roof". This procedure is called "in-fractures". 2) It is also possible that too much of the hump was removed. This is corrected with a small cartilage graft. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Revision Rhinoplasty Is Necessary

Hello, Manhattan friend. What you are describing is a classical situation. When the bump was removed, it may be that the nasal bones were not moved closer to each other. Thus there is the illusion of increased width ( the nose is not wider, just looks that way since there was no narrowing done. Then, there is the flatness, as if someone came along with a sword and sliced off the bridge of your nose. In a sense that happened. Here is the good news: it can be fixed. The next... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Repairing a wide nose after hump removal

Removing a hump is analogous to removing the apex of a triangle-the more that is removed, the wider the remaining portion becomes. Hump removal often requires simultaneous narrowing of the nasal bones so that the nasal width is appropriate on the frontal view. The nasal bones can easily be narrowed during a revision procedure. Bumps can be recreated, but require grafting material such as septal cartilage.

William D. Losquadro, MD
Mount Kisco Facial Plastic Surgeon

Wide nose after nasal hump removal

A couple possible causes of the wider appearing nose after hump removal include: There is an open roof deformity such that the bridge it too flat and the bones wider than ideal. This can be treated with osteotomies to gently infracture the bones and shift them toward the midline. Simply removing a hump can give the perception that the nose is wider. Seeing your nose would help determine what would be the best way to address your concerns. The bridge can be built back up... more

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

www.drlamperti.com

Flat nose after rhinoplasty

First a photo would be helpful. Second there a many options for revision rhinoplasty. The options are adjusted to the specifics of your anatomy.

Jay M. Pensler, MD
Chicago Plastic Surgeon

www.plasticsurg.org

Removing a hump from the nose can make the nose appear wider

When a hump on the nose is removed, it can make the nose appear wider. If you measure the actual width it is unlikely to actually be wider. This is an optical illusion caused by unmasking of the eyes. A smaller hump separating the eyes gives the appearance of this area to look flatter and wider. Another condition that may occur is a flat upper nose (dorsum) with an open roof. Removing a hump is akin to shaving off the top of a pyramid. Unless you do osteotomies, or "break" the... more