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Procedure to Reduce Dorsal Hump

asked 1 year ago by intrepid13 in Los Angles
Latest answer by William Portuese, MD
Question viewed 986 times
Tags: female, dorsal hump

How Simple is a Procedure to Reduce a Dorsal Hump Very Slightly, Maintaining my General Nose?

26 answers to Procedure to Reduce Dorsal Hump

+2

Rhinoplasty for nasal refinement.

This is not difficult but you need to go to an experienced rhinoplasty surgeon who does natural noses that are not over done.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+3

Simple procedure for removal of dorsal hump

A very limited rhinoplasty consisting of rasping of the dorsal hump may be all that is necessary if this is the only part of the nose you wish to address. The procedure can even be performed with conscious sedation, avoiding the need and cost of general anesthesia. I recommend using a 3D system such as the Vectra 3D by Canfield so that you can visualize the effect of the hump reduction on the overall harmony of your face.
Frank Agullo, MD

El Paso Plastic Surgeon

www.elpasoplasticsurgery.com

+3

Nasal Dorsal Hump Removal

Removing the dorsal hump in rhinoplasty is one of the most common procedures in rhinoplasty.  While the "bump" can vary from patient to patient, removing it generally requires gently rasping or "filing" the bump to a more satisfactory appearance. The profile view is typically the view where you can see the most dramatic benefits from a nasal bump/hump removal.
Jon E. Mendelsohn, MD

Cincinnati Facial Plastic Surgeon

www.351face.com

+3

Removing a nasal hump in rhinoplasty surgery

Thanks for the question! Removing a hump while maintaining the shape of the rest of the nose can certainly be accomplished through either closed (endonasal) or open (external) rhinoplasty. This can be achieved by rasping (filing) down the bones or using a very precise osteotome, similar to a chisel. There are many considerations, however, which are important to assess. 1) First of all, I would recommend seeking a surgeon who performs computer imaging during the consultation. This process... more
Umang Mehta, MD

Bay Area Facial Plastic Surgeon

www.mehtaplasticsurgery.com

+3

Reducing dorsal nasal bump

Yes it is possible to reduce the nasal dorsal hump only. However that would neglect the overall appearance of the nose, which should aloso be addressed.  In particular the length of the nose and overall balance with the face should be considered, or the nose might appear overly long and thin when you are done.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+2

You appear to be a good candidate for Rhinoplasty Surgery.

I read your question and reviewed your photos. You appear to have a long nose with a profile bump, and droopy tip that worsens with smiling. In my opinion, you would obtain an optimal result by addressing all of these issues, not just your bump. Your nose will continue to lenghthen as you get older, so if you're inclined to undergo a major operation you may want to consider nasal shortening, and tip rotation as well. You may want to consult several reputable, experienced rhinoplasty... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+2

Dorsal hump correction

The aesthetic relationships of the nose can be subtle.  Prior to considering any cosmetic nasal surgery or rhinoplasty, it is important that you develop a very specific sense of what you would like corrected.  When considering the dorsal hump, which usually has both boney and cartilagenous components, it is also important to assess the width of the nasal base as well as its relationship to tip position and definition.  A consultation with a board certified plastic surgeon will... more
Richard J. Wassermann, MD, MPH

Columbia Plastic Surgeon
+2

Rhinoplasty (nose job) to remove a hump or bump.

Rhinoplasty or nasal surgery to remove a dorsal hump or bump on the nose may sound fairly straight forward.  However, other techniques must be incorporated in order to respect the aesthetics and function of the nose.  If the hump is taken down alone, the bridge or dorsum of the nose will seem like the top of an aircraft carrier (an open roof deformity).  Flat and wide.  The bones on the side of the nose need to be fractured and brought inwards inorder to "close"... more
Etai Funk, MD

Houston Facial Plastic Surgeon

www.funkfacialplastics.com

+2

Procedure to Reduce Dorsal Hump

It is not difficult to just reduce a dorsal hump while "maintaining my general nose". Rhinoplasty surgery is always individualized to meet each person's needs and reach the goals of the doctor and patient. Select an experienced surgeon to make subtle changes.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+2

Reducing nasal hump

Rhinoplasty is a complex procedure. Reducing the hump may require narrowing of the nasal bones afterward unless a very small shaving is required. You may have hyperactive muscle called depressor nasalis which bring the nasal tip down on smiling, making the nose look slightly longer and  also may curve up the upper lip making it appear short. As you can see, reducing the nasal hump may be a simple procedure, but will need to be considered with regards to other nasal structures in order... more
Mohsen Tavoussi, MD, DO

Huntington Beach Facial Plastic Surgeon
+2

Reduction of the nasal dorsum with Rhinoplasty

Thank you for posting your lovely photos. You are an ideal candidate for Rhinoplasty surgery and for reducing the dorsal hump. This is usually done by using a rasp similar to a nail file which shaves down the bone and cartilage. As far as your question regarding how simple it is depends on the experience of your surgeon. A skilled rhinoplasty surgeon should be able to meet your aesthetic needs and give you a natural appearance keeping with the bone structure of your face and nose. In my... more
Michael Elam, MD

Orange County Facial Plastic Surgeon
+2

Removing a bump on the dorsum of the nose

Reducing the dorsal bump of the nose is one of the most frequently performed procedures in rhinoplasty. Small bumps can often be treated by reducing the bone and cartilage directly beneath the bump. Large bumps may require reduction and repositioning of the remain supportive structures to avoid making a flat spot on the nasal dorsum. This is usually a simple procedure. Computer imaging is very helpful in these cases. While it cannot be a guarantee of results, it can greatly facilitate... more
Joseph Mele, MD

Walnut Creek Plastic Surgeon
+2

Dorsal hump reduction

Thanks for the photos, but they do not show all that a surgeon would need to see.  A small dorsal hump may be easy to treat and sometimes do not require an osteotomy  at the end of surgery.  A full exam is essential to figure out what you would need.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Subtle dorsal hump removal

A subtle dorsal hump removal can be done while maintaining the other aspects of your nose, if you want. As others have mentioned, it is important to assess whether you would be at risk for pinching of the middle third of your nose as a result of surgery. If this is the case, cartilage spreader grafts can be placed concurrently to add support to the area and prevent this problem (aesthetically and functionally). It may be illustrative to go through computer morphing with your surgeon... more
Thomas A Lamperti, MD

Seattle Facial Plastic Surgeon
+2

Hump Reduction: Best to Consider the Nose and Face as a Whole

Hello and thank you for posting photos. Reduction of a nasal hump is a very common maneuver performed as part of a Rhinoplasty. What's more important however is to determine what reducing the hump will do to the overall appearance of the nose and face. It's hard to tell from the angles in the photos provided, but it seems that you may have some tip ptosis. Sometimes some slight tip elevation in conjunction with hump reduction can make the nose look much more natural than just taking... more
Thomas Buonassisi, MD

Vancouver Facial Plastic Surgeon

www.8west.ca

+2

Procedure to Reduce Dorsal Hump

A very limited dorsal hump can be addressed with rasping and possibly shaving the cartilage but in reality the total balance of the nose should be considered when one alters even one aspect ot the nasal structure. 
Erel Laufer, M.D.

Tampa Plastic Surgeon
+2

The only minor surgery is the one done on someone else

On the grand scheme of things, the reduction of a dorsal hump is relatively simple compared to other problems in rhinoplasty.  That being said, the decision to perform this procedure without manipulating other parts of the nose can be tricky.  I agree that it is very important to have your surgeon perform computerized imaging so you can see how reducing the hump will make other parts of your nose look a little different as well.  Best of luck!
Colin Pero, MD

Dallas Facial Plastic Surgeon

www.drpero.com

+2

A slight reduction of the nasal dorsum

What you might need is more than a slight filing down of the dorsal hump. It might, by itself, create a nose that is less attractive and fitting for your face. See a surgeon who employs computer imaging to get a preview of what your nose might look like with the various maneuvers that can be done.
Sheldon S. Kabaker, MD

Oakland Facial Plastic Surgeon
+2

Simple nasal hump reduction

It is possible to reduce the nasal hump in a 'simple' procedure, and the concept came out of LA many years ago (where else) and was called the lunch hour rhinoplasty. In short you can reduce and shape the hump and  keep the rest of your nose. The lunch hour thing though is a bad idea. Best of luck, peterejohnsonmd
Peter E. Johnson, MD

Chicago Plastic Surgeon
+2

Reducing the dorsal hump

Thanks for sharing your photos! Usually reducing a dorsal hump is performed through a combination of rasping (using a file) or shaving down the bone and cartilage.  This is very commonly done.  I would recommend you see an experienced rhinoplasty surgeon in consultation.  He/she will be able to examine your individual anatomy and help give you a good idea as to what your final result will be.     Dr. Cat Begovic M.D.
Catherine Huang-Begovic, MD

Beverly Hills Facial Plastic Surgeon
+2

Simplicity depends on the skill of the surgeon

Asking "how simple" hump reduction is may not be the best question and may be misleading.  In very experienced and skilled hands, hump reduction is probably the most "straigh forward" of all parts of a rhinoplasty however, the way you heal over the next few years will create changes in a favorable or unfavorable direction.  But I have seen plenty of patients with horrific nose jobs who come in for revision who had fairly "simple" goals and their... more
Shervin Naderi, MD

Washington DC Facial Plastic Surgeon
+1

Dorsal hump reduction

Reducing a dorsal hump can be done through traditional rhinoplasty techniques, both open or closed rhinoplasty.  Simple reduction can be performed through closed rhinoplasty procedure.  Once the hump is removed osteotomies will be performed to narrow the nasal pyramid so as not to create an open roof deformity.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Dorsal Hump Reduction with Rhinoplasty

It is common to reduce a dorsal hump if you are going to do an asthetic natural looking rhinoplasty. However, there is really no such thing as a simple hump removal in most cases because one has to place the dorsum and tip in harmony with the rest of the face. If it is just a simple dorsal hump removal, one can do that endo-nasally to rasp it down, but in most cases it requires an open rhinoplasty to refine the nasal tip and the dorsum to produce a natural looking nose.
Rod J. Rohrich, MD

Dallas Plastic Surgeon
+1

Reducing a nasal hump

Assessing your pictures, I can notice that probably a hump reduction could enhance your droopy nose appearance. So it would be recommended perform computer imaging during your consultation, it can demonstrate you if you would need a tip reposition or not. Reducing portion of the hump should be considered major surgery. Both the bony and cartilaginous vaults of the nose contribute to a dorsal nasal hump .Refinement of the dorsal area could be accomplished through either closed or open... more
Cynthia Nicolau, MD

Brazil Facial Plastic Surgeon
+1

Reducing a dorsal hump

Reducing a dorsal hump during a rhinoplasty is one of the most common maneuvers performed to improve the aesthetics of the nose and is relatively straight-forward.  It would be helpful to see a profile photograph of your nose in order to render an opinion on how extensive a change it might be.  Based on the photos you have submitted, you might also be a candidate for slight shortening the nose to elevate the tip somewhat.
Roger J. Oldham, MD

Bethesda Plastic Surgeon
+1

Rhinoplasty to Reduce Bump on Nose

Hi intrepid13, Thank you for sharing your photographs. Yes, reducing a nasal bump may be a relatively minor procedure, as compared to other rhinoplasty procedures. Computer imaging could help determine how your nose may look like after bump reduction. Rhinoplasty is not one operation, but many potential operations. Every patient is unique. Reducing the hump from a nose is the most common request for cosmetic nasal surgery. Humps are usually made up of both cartilage and bone,... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon

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