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

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.

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

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.

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

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

As others have commented when the hump is removed you may need an osteotomy to prevent it from looking to wide in the front view.  Don't think of it as"breaking the nose", that's what happens in accidents or fights. What's done in surgery is a precision alteration and should only be thought of as one of the steps needed to reach your final goal.

Thank you for the question and the photos.  A closed rhinoplasty to reduce the dorsal hump is appropriate.  You may not need to also have your nasal bone broken but as the hump is reduced the nasal dorsum tends to get wider.  I would seek consultation with surgeons in your community that have a lot of experience doing rhinoplasty and get their advice about what can or should be done.  I would not hesitate to either have your nasal bones broken and narrowed or to have an open rhinoplasty if either or both would provide the best shape and longest lasting result.All the best,Dr. Remus Repta

Osteotomies (breaking the nasal bones) will be necessary after removing your hump to avoid increasing the width of your nose. I agree that you do not want to change the frontal view which is very nice. Don't worry about surgically breaking your nose; this is something I do everyday in rhinoplasty surgery. I would use the closed approach.

You could be a candidate for closed Rhinoplasty.  Taking the dorsal hump can be done without breaking bones, but this tends to make the nose look wide.  Consult with a Board Certified Plastic Surgeon for an in person exam to determine your options.