How Can I Get a Dorsal Hump Back?

Hi there,

You asked this question last week, at which time you mentioned that you were only 4 weeks post op at that time.  It's clear that you are really struggling with your new nasal appearance, which is distressing for you.  You mentioned in one of your posts that it now looks "too perfect", and you're regretful of having had it changed.  You're doing the right thing by discussing this in Realself.  It's good you can express your concerns.  If possible, though, let some time go by before making any changes to your nose - from a surgical point of view it is very early days and the nose will change a lot in appearance over the next few months. It will change - you're not looking at a final result. If you remain regretful in 6 months from now, then a surgical change could be considered, as by that time you'll be beginning to see a more final result.

Posting some pictures of before and now might also help to gain more informed opinions about your concerns.   

Although it is hard to tell without seeing your pictures what you are describing is possibly an over-reduced bridge which can be reconstructed with your own cartilage - such as in the example below

There is hope.  Many patients experience anxiety early on after a rhinoplasty, but the appearance will only improve with time.  However, if after healing you feel that the nasal dorsum (the bridge) is too low, then correcting this is relatively easy.  Lets hope you don't need it, but if so your options are:


Soft tissue fillers (will not feel like bone)

revision rhinoplasty with augmentation of the bridge


There are many materials that can be used to augment the bridge including temporalis fascia, cartilage and GoreTex.  The correct choice depends on exactly what you need and the comfort level of your surgeon.  I hope you find this information reassuring.