Can I remove this bump with local anesthesia only? (Photo)

Question

I was thinking about getting my hump rassped under local anesthesia, without osteotomy or any other procedure, do u think that my nose is a good candidate for this or it would need osteotomy?

Selcuk Inanli, MD · Answer

Hello' Thank you very much for your question. As far as I can understand from your photos you have a strong dorsal hump and it cannot be solved with a local anesthesia. You might need a rhinoplasty surgery with general anesthesia. It would be more convenient to decide with face-to-face consultation. Best Regards!

John Michael Thomassen, MD · Answer

This may be more than can be achieved under local anesthesia, unless you would be happy with a slight correction.  I would recommend osteotomies if you do an aggressive reduction to avoid an open roof deformity.

Oakley Smith, MD, FRCSC · Answer

Yes, it is possible to address the hump on the bridge of your nose through surgical rhinoplasty or non-surgical methods such as filler injections. It is advisable to consult with a facial plastic surgeon who has expertise in these treatments. They can explain the advantages and disadvantages of each option, allowing you to make an informed decision based on your specific needs.

Thomas Trevisani, MD · Answer

In person exam is essential. Based on limited photos - it appears that you would benefit from Rhinoplasty preferably performed through a closed technique. In our Practice we perform all major surgeries such as Rhinoplasty under general Anesthesia provided by M.D. Anesthesiologist. I do not support Rhinoplasty under local anesthesia under any circumstances. It not only compromises the result but also compromises safety. Safety of the patient is paramount. Furthermore, when performing Rhinoplasty - all elements of the nose need to be addressed in order to achieve the best result, especially when the hump is removed. Once the hump is removed -all relationships must be corrected.

Jeffrey H. Spiegel, MD · Answer

Truly the role for osteotomy is in large part determined by a side view photograph. However, the bump does not seem very substantial.  I think I could fix this with local anesthesia in the office in a few minutes.

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I totally agree with Dr. Adelson's answer.  You definitely need a full rhinoplasty with osteotomies.  Anytime you reduce the nasal hump you create an open roof deformity.  The osteotomies-breaking the nose are necessary to reestablish the roof of your nose, she will have a very flat appearing bridge of your nose and obvious step-off.  Best wishes to you.

Zoran Potparic, MD · Answer

Based on these photos it appears that your condition can be treated only with rhinoplasty which include hump reduction and osteoromies. In person consultation with a board certified plastic surgeon with good reputation in rhinoplasty is recommended. Good luck.

Ronald J. Edelson, MD · Answer

You will need a full rhinoplasty including osteotomies .l prefer general anesthesia for rhinoplasty but many surgeons do it under local with sedation. however, that’s not how you should select your surgeon

Eric M. Joseph, MD · Answer

Based on your profile photos, you appear to have a sizable dorsal hump and a droopy nasal tip appearance. If you just have your hump removed without tip plasty, the ligaments that support your tip may become disrupted and this can lead to a droopier nasal tip appearance on profile. Please consult with several rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. I hope this is helpful. Sincerely, Dr Joseph

Jacob Tower, MD · Answer

Hello, hope you are well. This rhinoplasty could be done under local anesthesia if that's your preference. That used to be the norm, and the techniques haven't changed. Based on the photos you provided, it is also very likely it can be done without osteotomies, but without seeing an anterior (A-P) view it is impossible to say whether that's the best choice because sometimes it is necessary to reduce the width of the nose. 
Best,Dr. Tower

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