Can the hump on my nose bridge be removed without needing any other adjustments or will it make my nose appear bigger? (photos)

The best advice that I can give you is to set up a virtual or in person consultation with an experienced rhinoplasty surgeon who can use computer imaging so that you can see what it would look like to simply have your hump reduced (which can be done) versus other changes to the appearance of your nose that you may feel makes your nose look even better. Your surgeon should help guide you but the ultimate decision about how you want your nose to look is yours!

Hello and thank you for your question and the pictures. Addressing the shape of your nose (especially the bridge and nasal tip) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose! I would recommend addressing the dorsal hump (bump on your bridge) and slightly adjusting the tip so you get a natural looking result that properly balances and fits your face!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Hi from Istanbul. Removing the hump on your nose bridge is indeed possible. However, it's important to consider the overall balance and natural appearance of your nose. Removing the hump may create an illusion of a slightly longer nose. If you're comfortable with this, you may not need any additional adjustments. Yet, I recommend considering minimal changes to the tip of your nose to maintain a harmonious and natural look. An in-person consultation is necessary for a more detailed recommendation. Hope this helps!

The hump can simply be removed by filing it down. However, you have a bulbous tip that can be refined and the nasal columella can be increased.

Best Wishes,

Gary Horndeski, M.D.

In looking at your images, it would certainly be possible to limit surgery to correcting your dorsal hump. I don't think it would make your nose look bigger, but perhaps slightly longer. If you were to see me in consultation, I would discuss shortening your nose and rotating your tip, but whether or not this is the right decision for you is a personal one. Computer software can be used to simulate what those additional changes may look like to help you decide what your goals are. But keep in mind that these "morphed" images are a decision making tool, not a promise or prediction of your outcome.
Your best bet is to see a plastic surgeon in consultation to discuss your options.

When you remove a visible bump from the bridge, it tends to make the nose *look* longer, as if the tip had actually dropped. So after surgery, you might be wishing the tip of the nose had been elevated a touch at the same time as removing the bump. This effect happens also when a tip is deprojected, that is, when the tip is brought back closer to the face.
Then, and I can't tell for sure with only these two photos, but it seems as though the two cartilages that form the tip of your nose are a little broad, and the tip could be narrowed a touch. Right now, you have the prominence of the bump to balance the tip. If the bump is removed, the balance is removed, and the tip, if unchanged, might even look bigger to you, or at least more prominent. This is why rhinoplasty is so hard -- all of these considerations must be evaluated for every patient.


How *much* to elevate the tip, or lower the bump, or narrow the tip, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

After we remove a bump from somebody's nose, this always leads to a widened nasal appearance and osteotomies are necessarily performed to narrow the nose on the operating room table. Additionally, ligaments that naturally connect from the bottom of the bridge to the tip often get severed with hump removal. This can lead to a droopy nasal appearance and a longer nasal appearance. I hope this helps! Sincerely, Dr Joseph

Hi , generally speaking A tiny bump can be addressed alone or in combination with full nasal work it depends on patient preference and agreement with the surgeon. It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery
process.

Removing a hump alone without doing any other procedure on the nose can make the nose look smaller. This is a common procedure to reduce the appearance of a large nose.

Regards
Dr. J

If you remove the hump you would also need to have the nasal
Bones narrowed . Otherwise your nose will look too wide. I would also shorten the nose and refine your nasal tip. A rhinoplasty only looks right when you use a balanced approach. But you would get a great result