Does rhinoplasty 'let down' or 'push down' technique harm the function of your nose. looks scary when dorsal hump is pushed down

Question

A PS I consulted often uses a 'let down' or 'push down' technique with closed technique. My nose is almost the same as right photo, and left is what I wish, so a small overall improvement. I saw a technique where it seems like the dorsal hump is pushed inside of the nose, to make it less prominent! I can imagine that you could get breathing issues. Does this technique harm the function of your nose? I also have deviated septum which need to be fixed for better breathing.

Ronald J. Edelson, MD · Answer

I am not familiar with the push down technique but it sounds like standard rhinoplasty technique.  At any rate reducing the jump should not affect the breathing at all

Steven M. Denenberg, MD · Answer

It has always seemed to me to be waaaaaaay too much surgery and risk to get what might be a small improvement. Never made sense to me.But I'm the guy who always says that if the surgeon can prove to you that he gets great results using the technique, that's what's most important.
I usually make computer morphs when I'm answering a RealSelf question, to show the changes that are possible for your nose with a rhinoplasty. For example see this page:FacialSurgery.com/RealSelf/RealSelf_Morphs.html
But of course you didn't post any of your own photos. At the *very* bottom of the "Learn more" Web reference page (link is just below) is a link to instructions on taking photos that are more comprehensive and useful for online consultations like this, in case you'd like a more complete evaluation.

Gerald Minniti, MD, FACS · Answer

Hello,That's not how a hump is flattened. The photo of someone else's nose is not helpful; you may think it's similar but in fact may not be. Closed rhinoplasty is a limited technique that is not always best for everyone. Please visit a few ABPS certified/ASAPS member surgeons (or their AAFPRS equivalents) who specialize in rhinoplasty. Best of luck!

Toby Mayer, MD · Answer

Choose a very experienced rhinoplasty surgeon who can show you many examples of his results for noses like yours. The experienced rhinoplasty surgeon has many techniques to choose from and will select the ones that are best for you. Don't be fooled by Imaging. Bring photos of noses you like.

Jeffrey Jumaily, MD · Answer

The changes that you are showing the photo are very realistic and should be achievable. The bony hump is rasped or cut and the bones are brought together to prevent open roof deformity. Not sure how well the push down technique works. Best wishes.

Does rhinoplasty 'let down' or 'push down' technique harm the function of your nose. looks scary when dorsal hump is pushed down

Answers (8)

Answer: Rhinoplasty technique

Answer: Rhinoplasty technique

Answer: Dorsal hump

Answer: Dorsal hump

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Does rhinoplasty 'let down' or 'push down' technique harm the function of your nose. looks scary when dorsal hump is pushed down

Answers (8)

Answer: Rhinoplasty technique

Answer: Rhinoplasty technique

Answer: Dorsal hump

Answer: Dorsal hump

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.