If I want a nose hump removal, will the nose tip also have to be reshaped?

It is entirely possible to have a limited rhinoplasty to just take down the nasal hump and leave the tip alone. It is your option and preference whether or not you want to change the way the tip looks or not. I have done many, many patients where we only address the dorsum or bridge of the nose and leave the tip alone. It can be done under any level of anesthesia that you choose and you are the most comfortable with. I have done the procedure under iv sedation, general anesthesia and local anesthesia depending upon patient preference. Good luck in your area.

Yes, you can absolutely choose to make the focus of your rhinoplasty a dorsal hump reduction. Generally, just because you have the hump worked on does not mean you have to go into nasal tip work. I perform rhinoplasty's under general anesthesia only. Contact your local plastic surgeons for pricing and for more information about their surgical technique. 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  For an isolated dorsal hump, this can be reduced without altering the tip in the right patient.  This decision should
be based on a detailed discussion with equal input from both you
and your surgeon.   Cost varies based on geographic region and surgeon expertise.  Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Dear Mari,   Front and side view pictures would have been helpful. Apparently you have been told incorrectly about nose surgery:    1. Skin is almost never removed during rhinoplasty. Only if the tip projection is reduced significantly, a small amount of skin can be excised from the columella. Also, ,when the nostrils are too wide , a wedge of skin is excised from the alas' curve and base, to narrow the nose.2. The hump can be remove without changing the tip, However, usually, the nasal slopes have to in- fractured to avoid 'open roof deformity' . Also, if you have septal deviation and turbinates hypertrophy, the in-fracturing of the slopes can block the nasal breathing, so septoplasty and turbinectomies are recommended.   You have to realize that not all results are the same, because experience, technical skills and aesthetic eye are critical for good outcome. So, do your due diligence carefully and choose your surgeon wisely.   Always, consult with experience board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures , to mak sure that they are numerous, consistent and attractive.                   Best of luck,                                       Dr Widder

Yes, the nose hump can be reduced without tip reshaping. This rhinoplasty is performed often. However, each person is unique. Some patients may benefit from both hump and tip modification. Skin is not removed with rhinoplasty, except in cases of nostril narrowing. If you haven't already, then speak with a plastic surgeon to review rhinoplasty options appropriate for you. Read more in link below.Best,Dr. Chaboki

Cosmetic rhinoplasty is about balance. How does one part of the nose relate to the other? How does the nose relate to your other facial features such as your cheeks, chin, forehead, and the overall shape of your face? The answers to these questions determine what is right for you. If your dorsal hump is disproportionate to the other parts of your nose, then it alone can be addressed. Often however, when you change one part of the nose, others need to be addressed to keep things in balance. A thorough consultation with an experienced rhinoplasty surgeon will help you find what's best for you. Hope this helps.

 Depending upon the shape of the nasal tip and the entire nose, only the dorsal hump can be addressed which would include hump removal and osteotomies. As long as the nasal  tip cartilages are adequate, no surgery is indicated. If the tip cartilages are out of balance with the remainder of the nose, then a tip-rhinoplasty is required at the same time. Rhinoplasty with osteotomies are performed under general anesthesia, not local anesthesia. For many examples and our current price list, please see the link and  the video below

Dear mari141996,
Thank you for posting your question. It is not possible to accurately answer your question without seeing your nose and doing an in-person assessment.  In general, hump removal alone can be done sometimes (and is done) but other changes are needed as well if the hump removal changes the balance of the nose and makes other areas disproportionate or if support for the structure of the nose is needed after hump removal.
The cost will vary depending on your geographical region and your surgeon. The best way to check this is to contact the offices of board certified plastic surgeons in your area and enquire about it.
I do virtually all of my rhinoplasty surgery under general anaesthesia but small changes are sometimes amenable to local anaesthetic. This cannot be confirmed without an in-patient assessment and an operative plan.
Hope this is helpful and good luck with your research!
Best wishes

I think that in many cases when the dorm is adjusted tip work might be necessary to keep the nose in balance. It is hard to generalize, and an exam in person is really essential to offer advice.

While isolated hump removal can be done , it is important to look at how that change affects the perception of the shape of the rest of the nose. This is best done using computer imaging. The most common effect hump removal has is to make the nose look longer so this is why tip changes may also be beneficial.