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Correction Possible for my Dorsal Hump?

I have a hump on my nose and I want to get it removed. Is my nose a candidate for only the removal of the hump or would more work be recommended? With the size of my bump how difficult would the procedure be, and how much would it cost? Picture included.

Asked 31 months ago by leah7728 in Washington
Sort 18 expert answers by:
+1

See a rhinoplasty specialist.

 The pictures you have supplied don't tell the whole story. Sure, just the bump can be removed. It would be a better idea to have your nose evaluated by an experienced rhinoplasty surgeon whose work looks good to you.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+1

Nasal bones need to be narrowed as well

Once removing a hump of that size, usually the nasal bones will need to be narrowed; otherwise a flattop open-roof deformity will result. It is pretty rare to be able to do only a hump removal unless it is very small. Cost of the rhinoplasty is approximately $5700, which includes the surgeon’s fee, anesthesia fee, and operating room.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Hump rhinoplasty only

Your side view indicates the presence of a small osseocartilaginoius hump which could be managed with a reduction. The decision to do more depends on your desires. Generally management of the tip will be completed if you desire a change in the appearance. Costs will vary tremendously depending on several factors.
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Dorsal Hump

In general, you can do as little or as much as you want with rhinoplasty surgery. After a thorough evaluation by your surgeon, you will decide what you will change. Cost will vary depending on what is done, not the size of your hump. 
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Hump Removal Can Improve Profile

Removal of a hump on the bridge of the nose (dorsal hump reduction) can create a dramatic improvement in the profile. It is possible to remove only a hump from the bridge. This can be accomplished by rasping (filing down) the hump through incisions made on the inside of the nose (closed rhinoplasty). Usually, if a hump is removed, the nasal bones must be surgically broken (osteotomies) to narrow the nose and close any gaps created after the hump is removed. However, in order for the nose to... more
C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
+1

How to treat your profile nose-bump.

The picture you posted only shows a single view of your nose, so it's difficult to tell what would be your best option. It seems that your tip is overprojected (comes out too far from your face), and you might benefit from a rhinoplasty to address the bump, and to address your tip. You should consult a board-certified, experienced rhinoplasty surgeon with many favorable photos. I hope this helps, and best regards.
Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
+1

Dorsal Hump

A dorsal hump can be taken down to improve the profile. The smaller it is the less likely you will need infracture of the bones.    
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Rhinoplasty to Correct a Dorsal Hump

Hi Leah, Yes, your dorsal nasal hump may be removed. I would advise a subtle rhinoplasty. Your hump can be rasped down (like using sand paper, but stronger). After taking down the hump, your nose would need to be re-evaluated to determine if other maneuvers would be necessary to give you a well balanced nose in harmony with your face. I have put the cart before the horse though. First it is essential for you to be evaluated by a rhinoplasty specialist who will examine your nose and make a... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

How to fix a dorsal hump

Obviously, a complete recommendation is not possible without a consultation and physical examination. However, generally speaking, the hump on the nose can be shaved or chiseled down, or alternatively, a non-surgical rhinoplasty can flatten the dorsal hump by building the nose up above and bellow the nasal hump. In a non-surgical rhinoplasty, an injectable filler such as Radiesse is injected under the skin during an office visit. This will give a a temporary result for about a year or two.... more
Maurice M. Khosh, MD
New York Facial Plastic Surgeon
+1

Keys to a beautiful profile

Almost everyone who seeks removal of a nasal hump does so in order to make the nose look smoother on profile. With that assumption, there are several important things to remember when one is looking to improve the profile of the nose. 1. If a hump is removed, several other things happen to the nose which may require additional measures. For example, if the bone and cartilage of a hump is removed, the bridge of the nose is essentially "uncapped". There may then be an open space... more
David W. Kim, MD
Bay Area Facial Plastic Surgeon
+1

You can just have the dorsal hump of your nose rasped flat.

Hi! It's a good idea to do the least that will get you to the look you want. You are bothered by the dorsal hump of your nose, and this can almost certainly be removed without doing anything else. You have a "stately" nose, and it should be left that way. The hump is small, and overall your nose is very attractive. In our New York City practice, your cost would be $7000, but costs are lower in other places.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

You could do a limited decrease of the 'bump'

You should consult a plastic surgeon who does a lot of nose surgery and find out what he/she thinks is possible. I would need more views of your nose to say whether the 'bump' could simply be decreased, but I have a hunch you would need to have a ful 'nose job' to get it all to look right.
G. Gregory Gallico III, MD
Boston Plastic Surgeon
+1

I agree with all the above answers, However

It is difficult to give an definitive opinion based on one view. You certainly have a bump, but it also looks like the tip of your nose sticks out a little too far as well. Other views would show this better. This is why not only are more views necessary. This is why I like using computer imaging to demonstrate when a hump removal alone would work and when it would make the nose look out of balance, then the differences and alternatives can be discussed in better detail. It is also hard to... more
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
+1

Corrective Rhinoplasty

The aesthetic complaint you have with your nose is common and easy to correct. I use video imaging as a component of assessment and education the patient. We can do the operation on the computer and make certain that the patient and surgeon have similar goals. The cost of a rhinoplasty is $5450 which includes all fees (surgeon, anesthesiologist, facility) and office visits. This should be close to the national average.
Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
+1

Dorsal Hump of the nose

Yes, it is removable. It will involve shaving down the cartilaginous and the bony part of the hump. After that is removed with a chisel, your nasal dorsum will be a bit flat instead of being narrow. To make it narrow again the nasal bones are broken on the sides called (Osteotomies) and then both bones are pushed towards the center. That gives it the same narrow appearance as you have now but the hump is gone. The usual recovery time is one week. Bruising varies but can last up to 2 weeks.... more
Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
+1

Hump only removal is rare but possible.

Hi Leah, Thanks for your question. Removing the hump alone is possible but rarely, since it often widens the look of your nose. Occasionally a break in your nasal bones needs to be made surgically (osteotomy) to renarrow this widened appearance. Also, if the width of the upper part of the nose is narrowed, the tip structures often have to be changed to proportionally reduce the appearance of the nose. This keeps the tip from sticking out too much visually. Proportion and balance are the... more
Manish H. Shah, MD
Denver Plastic Surgeon
+1

You have options

I would need other views.  Certainly the hump can be taken down, but you may need an onlay graft too, depending on the exam.   I notice that you have a "weak" chin, and you may benefit from orthodontia and/or a chin augmentation. sek
Scott E. Kasden, MD
Dallas Plastic Surgeon
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