Would my nose need to be broken in order to remove my dorsal hump? (photos)

Question

I like the front view of my nose but hate the side view of it. Would my nose need to be broken to remove the hump I have? And could I do a closed rhinoplasty?

Deborah Sillins, MD · Answer

A closed Rhinoplasty approach should be fine to address this problem. Most of the time when you remove the dorsal hump you have to perform osteotomies to prevent the nose from looking to wide.

Robert Singer, MD · Answer

When the hump is refined, you may benefit from slightly narrowing the nasal bones to prevent a wider flatter appearance to the bridge of the nose. That is performed with an osteotomy, an incision  in the bone which allows it to be subtly narrowed. It is different from a "breaking" of the bone which lacks precision. The nasal refinement can be performed through an open or closed approach.Following
the advice of anyone who would presume to tell you what to do based on two
dimensional photos without taking a full medical history, examining you,
feeling and assessing your tissue tone, discussing your desired outcome and
fully informing you about the pros and cons of each option would not be in your
best interest. Find a plastic surgeon that you are comfortable with and one
that you trust and listen to his or her advice. The surgeon should be certified
by the American Board of Plastic Surgery and
ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS).
You should discuss your concerns with that surgeon in person.

Robert
Singer, MD  FACS

La Jolla, California

Marcelo Ghersi, MD · Answer

Hello. In order to remove the hump, the doctor will have to remove some cartilage and some bone. Most often, when we remove bone from the top, the nasal pyramid becomes flat, and we create something called an open roof. In order to close the open roof osteotomies have to be done. This can easily be achieved through a closed rhinoplasty. Good luck. Dr. G

Steven Wallach, MD · Answer

Your dorsal bone and cartilage need to be shaved down. I prefer to do this open to get the best exposure and to adequately visualize the deformity.

William Portuese, MD · Answer

When there is a significant dorsal hump present, an open roof deformity also known as a flat top nose is created from the hump removal.  While the nose might look great from the side profile, the  frontal profile will be widened. Osteotomies of the nasal bones are required to be performed to close the open roof. Osteotomies of the nasal bones involve making small cuts in them and narrowing them accordingly. For more information and many examples, please see the link and video below

Would my nose need to be broken in order to remove my dorsal hump? (photos)

Answers (9)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Will the nose be broken after a dorsal hump removal?

Answer: Will the nose be broken after a dorsal hump removal?

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Everything you need to know about Rhinoplasty

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Would my nose need to be broken in order to remove my dorsal hump? (photos)

Answers (9)

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Will the nose be broken after a dorsal hump removal?

Answer: Will the nose be broken after a dorsal hump removal?

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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.