Removing Nose Bump Without Breaking the Nose? Doctor Answers, Tips
Rhinoplasty: Q&A
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Removing Nose Bump Without Breaking the Nose?

I am 20 years old and I have always felt insecure about the bump on my nose. I have been reading a lot about Nose surgery and I have heard people just getting it filed down without having to break the nose.

What is this called? What is the procedure? And what are the estimated costs?

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20 Doctor Answers | Asked by OhKathrynn in Detroit,MI
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Filing down the nose without breaking the bones

Filing down the nose without breaking the bones is possible if the bump is not very large and removal of the bump doesn't make the bridge look too wide. If your nose is already average or wide and the bump is not small, it would be required to reposition (break in) the bony walls to make the bridge narrow
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Nasal bones are reset when removing a large bump

If there is a large bump present, yes, nasal bones will have to be broken and reset because if you only file the bump down the nose will be left with a flat top and square top nose. If there is a small bump present, yes, just filing the bump down may be enough and the bones do not need to be broken.
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Removing a Nasal Hump without Breaking the Nose

Yes, a bump can be removed without breaking the nose as long as the bump is not very large. If the bump is large, then removing it results in a flat contour to the bridge of the nose. This called an open roof deformity if it is not taken care of. To take care of this flat surface, the nasal bones are infractured to move them together to give a normal bridge. If the bump is not too big, it can simply be rasped/ shaved down while maintaining a normal bridge contour.... more

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Rhinoplasty Surgery & Removal of Dorsal Hump

The management of nasal bumps varies from patient to patient and depends on the patient’s aesthetic goals and anatomic findings. In some cases, removal of nasal bumps can be accomplished without breaking the nose. When this scenario occurs, the dorsal hump is usually small and the procedure doesn’t result in widening of the nasal bridge. In the vast majority of patients who have nasal bumps removed, fracture of the nasal bones is necessary to prevent widening of the nasal bridge. When... more
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Reducing a dorsal hump without infracturing the bones.

It is possible to reduce a small dorsal hump without infracturing the nasal bones; however, most of the time that I reduce a dorsal hump I do infracture the nasal bones. This is done to prevent the appearance of a flat nose or an 'open roof deformity'. In general, one should not fear having their bones in fractured. It is not a traumatic procedure and is done in a controlled manner with minimal discomfort.
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Removing a Bump (Dorsal Hump) without Breaking the Nose Bones

This is a more complicated question than it may seem. In general, removing a bump (dorsal hump) involves taking out a part of the septum, upper lateral cartilages, and nasal bones. This leaves a separation between the two side of the nose (sometimes called an open roof). In some cases, this creates a palpable defect or even a flat-looking nose. For bumps that are mostly cartilage, or pretty small, the open roof may not be noticeable. In these cases, infracturing (breaking) the nose... more
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Sometimes

It depends on how much of the bump needs to come down and whether it is just bone or bone an cartilage. Most nasal humps are both. The cartilage must be carefully trimmed as the bone is filed. If the hump is small, it may be possible to avoid osteotomies. However, imagine a long tent; and you take off the top of the tent. You are now left with the walls of the tent separated by air and a ridge post (in this case the nasal septum) down the middle. To avoid... more
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Removing Nose Bump Without Breaking

In some cases if the bump is small the bump may be filed down without any "breaking" of the nose. However, if the bump is large there are several areas of the nose that can be incorporated such as the dorsum, the tip of the nose, and the base of the nose that may need some adjustments along with the filing of the hump to make the nose and all of its parts look symmetrical to the face. "Dr.D"
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Hump Removal in Rhinoplasty

Although it may appear to be simple, a dorsal hump removal has many implications for the dorsum, as well as the tip of the nose. Just removing a nasal hump has other implications and may or may not require narrowing of the nasal base. Also, if one has an open roof/widened dorsum then one may need to have osteotomies (or breaking of the nose) to close the open roof, but it all depends on the width of the nasal base or how large the hump is. Obviously, this needs to be done by a Board... more
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Minimal Rhinoplasty

With rhinoplasty surgery we can do as little or as much as is necessary. I have removed a small hump without breaking the nose. It depends on the size of the bump. Consult with an experienced surgeon. You do not want to get rid of the hump, but make the nose look worse.  
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