Can a Large Dorsal Hump Be Removed with Rasping Alone?

If you have seen work the surgeon has done and you are comfortably with him, I would recommend you follow his advice.  Many patients wish to avoid having their nasal bones broken because the thought of it freaks them out.  In reality, however, nasal fracturing is a very controlled procedure and does not cause a lot of pain.  If your surgeon recommends fracturing the nose, I would agree to it.   Many rhinoplasties I have revised needed the revision at least in part because adequate infracture was NOT performed.  So if you trust the surgeon, you should let him make the determination.

From this side of the computer it is impossible to know if you were mislead or misunderstood what was being said. The hump is made of variable portions of cartilage and bone. To remove the hump the bone is usually rasped or filed down and the cartilage is usually cut. If the height of the hump being removed is more than a few millimeters that usually results in a flat open area along the top of the bridge. That open area is closed by either moving the bones on the sides of the nose toward the midline or tipping the upper edges of those bones together. The first narrows the bridge the second does do so to such a great extent. The open roof is a cosmetic defect and should not cause any functional problems.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.