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Break Nasal Bone to Fix Nose Bridge Bump?

I have a small bump on the bridge of my nose, which is more visible from one side. Will the nasal bone need to be broken in order to fix this?

Asked 31 months ago by pspielha in Overland Park, KS
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+1

It depends on the size of the bump.

 If the bump is small then you will probably not need to have the bones fractured. But if it is larger then you will need this done so that the bridge won't be too wide.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+2

How to Get Rid of Nasal Bump

You can correct this hump by either method of filing it down (rasping) or Micro-fracturing it depending on how prominent it is. It all depends on the width of the nose, the appearance of the bones on the opposite side and the degree of the hump. If you can post the picture, we can help you more specifically. Please be aware of fillers in the nose as it can cause some serious and unfortunate outcomes. Hope this was helpful. Dr. Sajjadian
Ali Sajjadian, MD
Orange County Plastic Surgeon
+1

Do I need to break my nasal bones?

Every nasal hump is different and this can be examined by an experienced rhinoplasty surgeon on the best approach.  In general, larger humps will necessitate breaking the nasal bones, while smaller humps may not.
Anil R. Shah, MD
Chicago Facial Plastic Surgeon
+1

Breaking nasal bones

The nasal bones only need to be broken if they are too wide or crooked. In addition, they also need to be broken if a large hump is taken down otherwise once the bump is taken down the patient will be left with a flat top nose. If there is only a very small bump present with a relatively narrow nose, then the nasal bones do not need to be reset or broken.
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

Nasal Bump

 With a small bump it is possible to remove the excess without breaking the nose. After examination, your surgeon can be more specific. Don't be afraid of the nasal fracture. You want the best possible result. Remember, it will last the rest of your life.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Depends on the size of the bump

 In many cases, with a small bump no fracturing of the bone is required, but it's hard to know without an examination.  If you do need an infracture, however, this is not something that should be feared as the procedure and the recovery are usually very straightforward.
Shahram Salemy, MD
Seattle Plastic Surgeon
+1

It probably will

A bump on the bridge of the nose is usually a combination of excess bone and cartilage in the area. In order to remove the bump, the bone must be reduced. This usually also requires reduction of the cartilage to maintain a smooth profile. Often, the nasal bones will have a small space between them when they are reduced. In order to close this space, the nasal bones muct be precisely fractured and repositioned. This is a very controlled maneuver. A well trained rhinoplasty surgeon can... more
John Diaz, MD
Beverly Hills Plastic Surgeon
+1

Don't fear the fracture.

I've noticed that many people on the web are seemingly most worried about the bones and having to "break" them. Fact is, the majority of the work, difficulty, and complications are related to the soft-tissue work of the tip and mid-third. The bones are, arguably, the least difficult part of the surgery and are not broken, but rather precisely cut and repositioned. Since the nasal bones are thin, just shaving them without cutting bone can create an "open-roof" deformity.... more
David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
+1

Your small nose-bump may not require surgery.

If your nose-bump is large, you'll need an operation to remove it. That usually leads to widening of your nose, which may require in-fracturing to narrow the frontal appearance of your nose. If the bump is small, you might benefit from an Injectable Filler treatment above and below the bump to camouflage it's appearance. I've attached a link that demonstrates this Non-Surgical Rhinoplasty in a male patient. I hope this helps, and best regards.
Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
+1

This worries many people!

The idea of having the bones broken is understandably scary to people. You may be worried about the pain afterwards, the bruising, or how it will end up looking. The mere idea of it can be pretty upsetting. Your nasal bones may or not need to be broken, as the others who have responded here correctly report. Just know this: you want it done right. In other words, if the best result will come by performing "osteotomies" (breaking the bones) then I think you should not be overly... more
Patrick Byrne, MD
Baltimore Facial Plastic Surgeon
+1

Nasal hump correction may not require fracture

Correction of the the nasal hump is probably the most common request in rhinoplasty or nasal shaping. Reduction of the hump does not always cause a need for fracture of the nasal bones but very often it is necessary. Surgeons don't refer this step as a fracture, but call the cut an osteotomy, a polite way of saying a cut in the nasal bone. The reason is that after the hump is reduced the bridge can appear wider, or the shape broader on a frontal view. When the procedure is finished we like... more
Peter E. Johnson, MD
Des Plaines Plastic Surgeon
+1

Breaking Nasal Bones to Reduce the bump

Yes, Majority of the times a nasal bump (dorsal hump) is reduced by shaving off the cartilage part and then breaking (chiselling away) the bony part. After this step the top (dorsum) looks a bit flat. To make it look narrow like normal, the side bones are broken and pushed towards midline to achieve the narrow look. Only exception is when the dorsal hump is purely bony and very small. In those cases just sanding down (rasping) the hump might fix the problem. Regards
Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
+1

Nasal bones and nasal humps

The answer is...maybe. A picture would help answer this question more definitively. Most humps of the nasal bridge are treated by removing excess convex bone, often times with a rasp. When the nasal bridge has been reduced , often the edges of the nasal bones become very prominent (open roof deformity). If that happens, the nasal bones need to be broken and pushed together. An evaluation by a board-certified plastic surgeon would help determine what specific maneuvers are needed to correct... more
Sam Jejurikar, MD
Dallas Plastic Surgeon
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