My dorsal hump is very slight and I just want to make my nose straight. If it would cost significantly less I would prefer to go that route. However, I’m also curious if it is possible to slightly shave the sides of my dorsal hump as well? Also, my nose slightly droops when I smile so I’m wondering if fixing the hump might disguise the droop? I will provide photos to have a reference.
Answer: Dorsal hump... If the dorsal bump is very small, it can be shaved without performing osteotomies. This is usually determined during surgery. If shaving the bump down creates an open roof, then the bones will need to be brought in. Doing this will not affect the tip, you may consider doing some tipwork at the same time if the droop bothers you.
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Answer: Dorsal hump... If the dorsal bump is very small, it can be shaved without performing osteotomies. This is usually determined during surgery. If shaving the bump down creates an open roof, then the bones will need to be brought in. Doing this will not affect the tip, you may consider doing some tipwork at the same time if the droop bothers you.
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June 30, 2020
Answer: Making the nose "straight" Thank you for you question and photos. A minimal change could be possible without osteotomies ("breaking" the nasal bones), but I don't think you would be happy with the result. You should consider a standard rhinoplasty to adjust the different components of your nose to work together for a look that you will be happy with. That would likely include osteotomies and adjustment of the tip shape and position. Consult with at least two Board Certified Plastic Surgeons with rhinoplasty experience before deciding.
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June 30, 2020
Answer: Making the nose "straight" Thank you for you question and photos. A minimal change could be possible without osteotomies ("breaking" the nasal bones), but I don't think you would be happy with the result. You should consider a standard rhinoplasty to adjust the different components of your nose to work together for a look that you will be happy with. That would likely include osteotomies and adjustment of the tip shape and position. Consult with at least two Board Certified Plastic Surgeons with rhinoplasty experience before deciding.
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Answer: Rhinoplasty Hi @kaylarene4! It is not ideal to shave down a dorsal hump without performing osteotomies because when the dorsal hump is shaved down, the bridge across the left and right nasal bones will be removed. This leads you with a wide flat bridge and visible left nasal bone and a separate visible right nasal bone also known as an open roof deformity. If you shave just the dorsal hump, the nose will appear even longer on profile. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!
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Answer: Rhinoplasty Hi @kaylarene4! It is not ideal to shave down a dorsal hump without performing osteotomies because when the dorsal hump is shaved down, the bridge across the left and right nasal bones will be removed. This leads you with a wide flat bridge and visible left nasal bone and a separate visible right nasal bone also known as an open roof deformity. If you shave just the dorsal hump, the nose will appear even longer on profile. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!
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July 4, 2020
Answer: Dorsal Hump Reduction without Breaking Bones (osteotomies) Smaller dorsal hump reductions may not require nasal bone osteotomies (breaking of the nasal bones); you may very well fit into this category. The ideal dorsum would have smooth dorsonasal lines, without visible bumps from any angle. Unfortunately, I don't think it would cost significantly less if osteotomies are not performed. If you are going to have a rhinoplasty, tip work could help adjust the rotation and improve the appearance of a droopy tip.
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July 4, 2020
Answer: Dorsal Hump Reduction without Breaking Bones (osteotomies) Smaller dorsal hump reductions may not require nasal bone osteotomies (breaking of the nasal bones); you may very well fit into this category. The ideal dorsum would have smooth dorsonasal lines, without visible bumps from any angle. Unfortunately, I don't think it would cost significantly less if osteotomies are not performed. If you are going to have a rhinoplasty, tip work could help adjust the rotation and improve the appearance of a droopy tip.
Helpful
July 2, 2020
Answer: Rhinoplasty It is uncommon to perform a rhinoplasty removing the bump and not breaking the nose. If the surgeon tries there will most likely be a suboptimal result. I tell patients that the breaking of the bones is quite routine and worth the extra bruising that may occur fir a week or two.
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July 2, 2020
Answer: Rhinoplasty It is uncommon to perform a rhinoplasty removing the bump and not breaking the nose. If the surgeon tries there will most likely be a suboptimal result. I tell patients that the breaking of the bones is quite routine and worth the extra bruising that may occur fir a week or two.
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