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Rhinoplasty-Dorsal Hump Reduction - Osteotomies? (Photos)

Female, 32. I have always been very self conscious of my side profile due to my dorsal bump. My front view, I’m ok with. Over the last 6 months I have extensively researched different board certified plastic surgeons in NC. I have had 2 consultations thus far. I have nothing negative to say about either Dr or the consults. However, each Dr has offered different approaches to achieving the desired results. Specifically, One Dr (board certified craniofacial plastic surgeon) opts for an open rhino (which I’m totally fine with) She states “This will allow me to raise the skin to expose the bone and cartilage that is contributing to the hump. I plan to contour down the hump which includes both bone and some cartilage, based on my exam, but will use suture techniques as needed to prevent an open roof deformity. I don't think you would require osteotomies.” So I guess my question is- is breaking the nose not always required depending on the size of the hump? I am so worried about open roof deformity or my front view being altered in a way I will dislike. I just want a straighter profile that gives me a more feminine look that balances and flows with the rest of my face. I have spent many hours researching about dorsal hump reduction and I noticed about 80% of the time, breaking the nose is required or preferred. Also, I am not 100% sure what is meant by the comment “suture techniques as needed”. I would greatly appreciate other professional opinions and advice on this matter.

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