Nasal osteotomies, or 'breaking the nose', during rhinoplasty understandably creates pre procedure anxiety for every patient and is a common question during every consultation. Breaking the nose, in general, is required if the nose is crooked or if there is a large hump or wide bridge. If there is subtle hump and a narrow bridge then occasionally, osteotomies can be avoided but in most cases, an osteotomy on on or both sides is required. If the hump alone is removed, the new hump must look balanced with the old tip. If your plastic surgeon feels this will not be the case, he or she may recommend reducing the size of the tip or raising the tip to make the profile or frontal view of the your nose look better.