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

Hi,The nasal hump CAN be removed without altering the nasal tip components. There is almost never a need to remove skin when performing a rhinoplasty. The only other important component of a hump removal is the need to perform osteotomies - which are controlled fractures of the nasal bones to narrow the nasal bride and prevent an "open roof" deformity. I recommend visiting with a rhinoplasty expert to discuss your goals and to review all the details of surgery including cost and recovery.Best,Mehdi Sina, MD

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