Can I get a closed rhinoplasty with local anesthesia to shave down the nose hump just a little? (Photo)

In general, when we reduce somebody's nasal pump, there is a naturally wider appearance to the nose. We create what is called an open roof deformity. Generally the nose needs to be narrowed by performing lateral osteotomies. Since this can cause bleeding into the nasal airway, we perform all rhinoplasty surgery under general anesthetic to prevent blood from entering your airway. I hope this helps! Sincerely, Dr. Joseph

Thank you for your query. You can certainly get a closed rhinoplasty for the “bump” on your nose. There is often a small element of extra bone along with cartilage in this situation. Both can be dealt with in a closed manner, and I often do these under local anesthesia , depending on the individual’s comfort. Please find an experienced board certified Plastic surgeon who can help you with all your queries.

Nasal humps are mostly composed of cartilage, probably less than a third of a hump is bony. Endonasal rhinoplasty can certainly be performed to reduce a hump, you may need spreader grafting depending on how much of the hump is taken down. Additionally, the tip position may need to be altered to match the new profile. A formal consultation with a surgeon to review all aspects of your nose would be necessary to give you a legitimate treatment plan.