Is Nasal Hump Reduction a Simple Procedure?

Hi! I am a 20-year-old female. I have come to the conclusion that the only thing I don't like about my nose is the nasal hump. I wouldn't say the hump is huge, but it is noticable.

I would like to have the hump reduced, but do not want a sloping nose (it wouldn't match my other features); I want a very natural looking nose.

I want to know how difficult this will be. Will my nose need to be broken? Since I only want my hump reduced and absolutley nothing else, so will the healing time be faster or will bruising be less apparent?

Doctor Answers 18

Nasal hump reduction is a relatively straight foward procedure, But not to be considered as a "simple" procedure.

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The rhinoplasty is a very complex operation. As a result no part of the procedure is regarded as "simple".  From when the incisions are made to when it is fully healed details are important and persistent.  As far as treating an isolated dorsal hump please keep in mind that as the nasal dorsum is reshaped then the relationship and appearance of the tip may change. It is critical to understand this before the procedure in order to be sure that the plan of surgery leads to the result that you are expecting to achieve.


Sergio P. Maggi, MD, FACS

Austin Plastic Surgery Center

Dorasl hump of the nose

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The only way to remove a dorsal hump is with rhinoplasty surgery. A dorsal hump can be just something you are born with or they can develop following trauma to the nose. If the hump is due to cartilage then this can not be filed down with a nasal rasp. If it is bone then filing it down is possible.

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 20 reviews

Nasal bump reduction, simple or complex?

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Thank you for your inquiry!

As you may already know, a rhinoplasty is made to look simple if you are dealing with a well-experienced surgeon but much more complex/complicated with a less-experienced one.
However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Small hump

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It's definitely possible for you to have a natural look.  I would recommend you see an experienced rhinoplasty surgeon for consultation and discuss with him/her what you would like your nose to look like.  Sometimes bringing photos of noses you like helps and many surgeons have computer programs that do recreations of what your nose may look like.  Regardless, good communication with your surgeon is critical.  He/she will be able to help you set realistic expectations on what your nose can look like based on your personal anatomy.

Dr. Cat Begovic M.D.

Nasal Hump Reduction - How Easy Is It?

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Reducing the bridge of your nose will probably be simple. The question is how much does the bridge need to be reduced. For very minimal amounts of reduction it may be possible to simply reduce the bridge and this would leave minimal swelling and virtually no bruising. Larger reductions leave the nose looking too wide from the frontal view and this is when it is necessary to narrow the appearance of the nose by mobilizing the nasal bones with a controlled fracture where the nasal bones meet the facial bones. This will lead to more swelling and bruising but if it is indicated  you will have a natural and pleasing result. This comes down to how prominent your bones are, how much you want them reduced and if your surgeon feels it can be done without the fracture. Either way you should have a natural looking result. Best of Luck

Nasal hump reduction usually requires breaking nasal bones

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At the time of a rhinoplasty when a hump reduction is performed, the most likely result will be a flattop open roof nasal deformity. The nasal sidewalls will have to be reset inwards to close the open roof to give a natural-looking nose. Otherwise, the nose will not look right.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Most hump reductions involve more than simple hump removal

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Once the surgeon reduces the nasal hump by either rasping or chiselling, additional work is necessary to provide nasal harmony. Osteotomies as well as nasal tip work may be necessary. Most surgeons do not take down the hump enough to give a sloping dorsum, but this can be a difficult to correct complication of an overresected hump. Seek the skill and experience of a qualified Facial Plastic Surgeon.

Kevin Ende, MD
Manhattan Facial Plastic Surgeon

This would be simple relatively on the scale of Rhinoplasty in general

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Rhinoplasty is a very difficult procedure especially when you need your nasal tip changed. It is a procedure that takes years to master. I've been doing Rhinplasties for 8 years now and have come to respect this procedure. It is a procedure that you need to continually improve on. Things change and techniques get better and you always need to learn the latest in the new ideas out there.

Nasal hump reduction is on the easier scale when you talk about rhinoplasty as opposed to tip work or reconstructive rhinoplasty. This is based on doing hundreds of rhinoplasties from the simplest to the most complicated including rib graft repair and complex nasal reconstruction type of procedures. Nasal hump reduction will entail limited intranasal incisions, reduction of the hump with rasps, sometimes direct reduction with scissors, etc, and many times will entail controlled breakages of your nasal bones to readjust the bones to the smaller state.

Really importantly, you want a surgeon to discuss all of these things with you and know what you want. This is perhaps the most important step in rhinoplasty. Knowing what your patients/clients want is more than half the battle. This establishes the goals of this procedure which is essential. So find somone who is going to listen to you!!

Through Rhinoplasty your appearance can change markedly for the better if done right!

Philip Young, MD
Bellevue Facial Plastic Surgeon

Nasal Hump Reduction is Complicated

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Although it might seem to be simple the reduction of a nasal hump is complicated. Once the hump has been removed with a chisel, the dorsum looks wide. It is then made narrowed by breaking the nasal bones along the side walls where the nose meets the cheeks. The nasal bones are then pushed together to get a narrow bridge.

In summary, reducing a dorsal hump can lead to a full rhinoplasty of the upper 2/3 of the nose.


Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

A small nasal-hump can be camouflaged with a Non-Surgical Rhinoplasty.

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If your nasal hump is small, and if that's your only concern, an Injectable Filler Treatment may be worth investigating. Injectable Fillers placed above and below a small hump will make your profile appear straight. If your nose is on the small side, this works well. If your nose is a bit large, Fillers will make it larger necessitating Rhinoplasty surgery.

I've attached a link demonstrating this technique.

I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 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.