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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?

Doctor Answers (41)

Removing a Nasal Hump without Breaking the Nose

+2

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.  I charge $6250 for a typical rhinoplasty.  If  a hump removal is all that is necessary, the charge would be less.


Philadelphia Facial Plastic Surgeon
5.0 out of 5 stars 52 reviews

Removing a dorsal hump without an osteotomy

+1
The answer to this is based on the anatomy and judgement of your surgeon. There is no one right answer. If the bump is small or mostly cartilagenous, then it would be possible. In most insatnces, removing a dorsal hump without an osteotomy leaves an open roof deformity which gives a flat and operated look to the nose. In today's world of external osteotomies, the bruising, pain and downtime is minimal. There should be no reason not to perform osteotomies if there would be an improvement in the appearrance of the nose.

Paul E. Chasan, MD
Del Mar Plastic Surgeon
5.0 out of 5 stars 12 reviews

Reducing nasal dorsum

+1
Fullness on the bridge (or dorsum) of the nose may be reduced without also manipulating the nasal bones in some patients.  If the fullness (bump) is mostly cartilage (and not bone) and does not result in the upper third of the nose appearing too wide or too flat then controlled breaks of the nasal bones (to narrow the upper third of the nose) may not be required.  This is a surgical decision your surgeon will make during your rhinoplasty procedure.

J. David Holcomb, MD
Sarasota Facial Plastic Surgeon
4.5 out of 5 stars 21 reviews

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Dorsal bump reduction without breaking the nose

+1
Many people are very concerned about having their nasal bones broken during rhinoplasty. .  There are several reasons to break the bones during rhinoplasty which include:  straightening crooked nasal bones, narrowing wide nasal bones, and preventing a wide appearance after hump removal.  It is possible to reduce a bump without breaking the bones but it depends on the appearance of one's nose preoperatively and what their desired outcome is.  The issue is that once you shave down the bump, the dorsum (or bridge) will look wide.  If the bump is small, or the nasal bones are very narrow to start than it is possible to avoid resetting the bones.  The decision is best made at the time of surgery.  It would be worse to go through surgery and, just to avoid breaking the bones, you ended up with an unnatural appearing nose that was broad and flat.  It is important that you address this concern during your consultation.

Robert Glasgold, MD
East Brunswick Facial Plastic Surgeon
5.0 out of 5 stars 19 reviews

Depends on the size of the bump

+1
Small bumps may be filed. Large bumps require all parts of the bridge of the nose to be reduced which means fracturing the bones to close an "open roof." The only way to know for sure is to see a rhinoplasty surgeon. 

Stephan Finical, MD
Charlotte Plastic Surgeon
5.0 out of 5 stars 4 reviews

It depends but usually it's necessary

+1
When a significant bump is filed down this usually creates a flat surface on the bridge. In order to narrow this it is usually necessary to perform osteotomies of the nasal bones. This is a controlled cut or break in the nasal bone.  If the bump is small and the nasal bones are narrow and not deviated this may be avoided.

Richard Rival, MD, FRCSC
Toronto Facial Plastic Surgeon
4.5 out of 5 stars 26 reviews

Humpectomy without fracture, cost

+1
Each individual is different. Some folks only need a little surgery, like taking down the hump. One may need cartilage trim. One may need in-fracturing. One may also want to reduce the projection of the nose. Sometimes operating on one part of the nose may effect another part. Best to see an experienced rhinoplasty surgeon. Visit with a few. Take a look at the before/after photos. Ask your questions. Together, you should be able to garner a plan to achieve your goals. The cost may depend on many factors, including the complexity of your nose, time spent in the OR, the city that you live in.                                                   

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Removing Nose Bump Without Breaking the Nose?

+1
On rare occasions the nose bump can be removed without breaking the nose bones if you have a narrow nose with a small bump and there is no deviation of the nose. Often removal of the bump makes the nose look wider and may expose the underlying deviation and asymmetry which cannot be correct without breaking (osteotomy) of the nose bones. It is important to know that breaking the nose bones is not breaking the arm or leg bones. This are very thin bones that are gently move with special tools.

Bahman Guyuron, MD
Cleveland Plastic Surgeon
4.5 out of 5 stars 9 reviews

Removal of dorsal nasal hump sometimes requires 'breaking' the nose

+1
A small dorsal nasal hump can be removed through and open or closed rhinoplasty approach without 'breaking' the nasal bones. For large dorsal hump reductions, the act of removing the 'hump' leaves the top of the nose 'open' (open roof deformity) which needs to be fixed by moving the nasal bones toward the dorsal midline, thus helping to close the structures along the top of the nose.

Scott C. Sattler, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 39 reviews

Minimally Invasive Rhinoplasty, Hump Reduction

+1
There are some patients that can be treated to reduce a dorsal hump without technically performing osteotomies.  Osteotomies are precise cuts made in the top and sides of the nose to release the bones and facilitate narrowing.

If a patient has a minimally elevated bump on the top (dorsum) of the nose without a particularly wide nasal bone structure, the surgeon will likely choose an endonasal (no outside incisions on the skin) approach for rasping or sanding down of the excess height of the nose.  This may be all that is required in your case.

However, it should be noted that two things may occur with this approach:

1.)  Patients can develop a boxy top appearance to the nose referred to as an "Open Roof Deformity."  This is a risk of lowering the dorsum without narrowing the bones.

2.)  Patients may be at risk to develop a nasal appearance that is not in harmony.  The lowered dorsum may arbitrarily cause an overly wide appearance of the nasal bones that have not been adjusted.

This is a decision that really takes years of experience to fully follow with a very qualified surgeon.  You are correct to ask this very valuable question but I would strongly recommend taking the advice of your surgeon very seriously.  He or she will help you select the least invasive and simplest methods for achieving your goals.

Best Wishes, 
Dr. Todd Hobgood
Double Board Certified Facial Plastic Surgeon

Todd Christopher Hobgood, MD
Phoenix Facial Plastic Surgeon
5.0 out of 5 stars 20 reviews

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.