Dorsal hump removal, shaved down? Is there a difference? How much would be an estimated cost? (Photo)
Doctor Answers 10
Can I just have my hump of my nose removed?
Rhinoplasty good idea.
Without any front view, it is hard to tell whether this would be helpful. If you nose is a little wide, that should be narrowed at the same time. It seems like you have a nice proportion between your nose and the lip. You should definitely consult and have your situation analyzed by a specialist.
Be sure to consult with those who do nearly all nose surgery. That increases the prospect for success of the operation and your happiness. You want to have computer imaging, of course, so you can see the predicted result of the surgery so that your comfortable with the surgeon’s plan. You would not buy a painting from an artist without seeing his work, right? Bring friends or family member with you to the consultation. It is always good to have extra eyes and ears. Prepare a list of written questions before you go so that all of your points are addressed and jot down the answers from the surgeon.
You want to do your homework by visiting a lot of websites of the nasal and cosmetic surgery super specialists. Look for a large gallery of before and after photos. Check out the patient reviews and testimonials on RealSelf and other helpful websites. If you do your homework properly, and that includes readings books, you stand a much better chance of being happy. The idea is to always avoid a revision rhinoplasty or even worse, revision rhinoplasties.
Robert Kotler, MD, FACS
Over 4,500 nasal procedures performed
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Rhinoplasty and BDD
However, if you have BDD, you may not be a candidate at all for surgery.
Patients with BDD can have trouble adapting to the changes of surgery, can have unrealistic expectations, and can remain unsatisfied with their surgery no matter what the outcome.
Rhinoplasty: Dorsal hump, one part of the whole nose.
Smoothing down a dorsal hump is a common part of rhinoplasty. Part of the bump is cartilage and part of it is bone. It can be reduced with a combination of techniques: osteotomies, rasping, or powered-instruments. Afterward the bridge is typically wider, flatter, and may have an open-roof. Additional rhinoplasty techniques are performed to contour and strengthen the nose. Removing the hump as an isolated procedure is rarely appropriate. And each patient's nose is different, requiring a different surgery.
I sit down with my patients and review their photographs and educate them regarding the pre/post surgical anatomy. I like to use 3D imaging and simulation software to demonstrate the changes to the patient's nose. 3D imaging is not a predictor of exact outcome, but helps me communicate with my patients. They can tell me what they like and don't like before I pickup a scalpel. I find this to be a nice first step toward a safe and happy outcome.
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