The only issue I have with my nose is a dorsal hump on the bridge that I'd like removed. I don't want to raise the tip because I'm worried my nose will look pig like. I just want natural results and a smooth bridge that looks good on my face. Could the surgeon be able to just shave a hump or would an osteotomy be necessary? Is this safe in terms of bleeding and causing any complications?
Answer: Dorsal hump removal and lateral osteotomies in rhinoplasty It will all depend of how big is the hump and how much reduction of nose height is needed. In other words, if small hump is present, it can be removed with surgical file or burr without osteotomies. However, removal of larger hump will leave deformity of the nose called "open roof" (removing a hump is like removing top of the roof from house), which needs to be corrected using lateral osteotomies to create smooth, uniform dorsum of the nose. Lateral osteotomies will also decrease width of the nose when needed. There is no extra pain involved with osteomoties, bruising and swelling may be slightly increased, but in the interest of good, predictable and stable result lateral osteotomies should be performed whenever needed. In person consultation with a board certified plastic or ENT surgeon with good reputation in rhinoplasty is recommended.
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Answer: Dorsal hump removal and lateral osteotomies in rhinoplasty It will all depend of how big is the hump and how much reduction of nose height is needed. In other words, if small hump is present, it can be removed with surgical file or burr without osteotomies. However, removal of larger hump will leave deformity of the nose called "open roof" (removing a hump is like removing top of the roof from house), which needs to be corrected using lateral osteotomies to create smooth, uniform dorsum of the nose. Lateral osteotomies will also decrease width of the nose when needed. There is no extra pain involved with osteomoties, bruising and swelling may be slightly increased, but in the interest of good, predictable and stable result lateral osteotomies should be performed whenever needed. In person consultation with a board certified plastic or ENT surgeon with good reputation in rhinoplasty is recommended.
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Answer: Are osteotomies necessary for a dorsal hump removal and/or safe? Removal of a dorsal hump leads to widening of someone's nasal appearance on front view, since the nasal bridge may be likened to an A-Frame roof. Osteotomies are typically necessary to narrow the nose after hump removal to "close the open-roof deformity". Hope this helps. Dr Joseph
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Answer: Are osteotomies necessary for a dorsal hump removal and/or safe? Removal of a dorsal hump leads to widening of someone's nasal appearance on front view, since the nasal bridge may be likened to an A-Frame roof. Osteotomies are typically necessary to narrow the nose after hump removal to "close the open-roof deformity". Hope this helps. Dr Joseph
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December 2, 2019
Answer: Rhinoplasty Lateral osteotomies are necessary to prevent an open roof deformity (flattening of the top of your nose) after a dorsal hump removal. Please refer to my previous answer on rhinoplasty for further details.Best,
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December 2, 2019
Answer: Rhinoplasty Lateral osteotomies are necessary to prevent an open roof deformity (flattening of the top of your nose) after a dorsal hump removal. Please refer to my previous answer on rhinoplasty for further details.Best,
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December 2, 2019
Answer: Rhinoplasty Osteotomies are almost always needed with hump removal. Otherwise the nose will be too wide and flat. A lot of u students are freaked out by the idea of breaking the bones but it is necessary and done in a very precise and controlled manner.
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December 2, 2019
Answer: Rhinoplasty Osteotomies are almost always needed with hump removal. Otherwise the nose will be too wide and flat. A lot of u students are freaked out by the idea of breaking the bones but it is necessary and done in a very precise and controlled manner.
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December 2, 2019
Answer: Rhinoplasty Hello and thank you for your question. After reducing a dorsal hump, it is necessary to perform osteotomies in order to prevent an open roof deformity. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.
Helpful 1 person found this helpful
December 2, 2019
Answer: Rhinoplasty Hello and thank you for your question. After reducing a dorsal hump, it is necessary to perform osteotomies in order to prevent an open roof deformity. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck.
Helpful 1 person found this helpful
