I'd like to remove the bump at bottom of my nose so it looks flat in profile and 3/4 views. My questions are below. (photos)

1) What would need to be done to fix my bump exactly? Bone breaking or just cartlidge shaving? 2) On a 1-10 scale how extreme would you consider this within the scope most nose jobs? 3) Expected recovery time until it looked normal again? Thanks!

Doctor Answers 13


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Just looking at a few two dimensional photos does not give the potential surgeon the ability to make a diagnosis and come up with the 'exact' treatment plan, but it would probably not be extreme and recovery shouldn't be long. This bump is either cartilaginous septum, a portion of the tip cartilages, or both. Best of luck!

Rhinoplasty for dorsal hump reduction

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A reasonable approach for your nose would be an open rhinoplasty with dorsal hump reduction. See a board certified plastic surgeon for a consultation.

I'd like to remove the bump at bottom of my nose so it looks flat in profile and 3/4 views.

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Shaving the cartilaginous portion of your bridge is a small procedure.  Sometimes lowering this area results in a lowering of the tip and one may need to consider a columella strut depending upon the degree of support present.  Each procedure is relatively small if necessary with a easy recovery and little pain. Your bones will not need to be broken.

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
ABC-TV Extreme Makeover Surgeon
Beverly Hills, California

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews

Super tip bump

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Thank you for the question and photos and your desired result can be easily accomplished via a closed approach.  So go on some complimentary consultations with experts in the area and compare recommendations, photos and fees and find your surgeon

Dr Corbin

Supratip fullness

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What you are demonstrating is supratip fullness; this results from under resection of your dorsal septal cartilage and/or soft tissue fat. You will require a revision of this region to lower the dorsum just above your tip.

Shaving lower hump of nose.

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The lower hump of your nose can be shaved without breaking the nasal bones. The recovery is a week and you should have almost no bruising. On a scale of 1 to 10 for an experienced surgeon this is a one. See a surgeon who is very experienced and does natural looking noses. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Shaving the Dorsal Septum

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If you are only wanting to lower that small excess cartilage in the lower dorsum, that is very, very easy.  This would involve a small incision on the inside of both nostrils, elevating the skin off the dorsal septum and shaving this down the cartilage.  This area of your nose is 100% cartilagenous, so you would not need any bony work done (osteotomies, breaking bone, etc....)  This is a 1, maybe a 2 out of 10 for difficultly, risk, recovery, bruising, etc....  Again, it would change only the lower third of the dorsal septum and shouldn't change any other part of your nose.  This is something we do with almost every rhinoplasty, rarely alone as people generally want bigger changes.  

John Bitner, MD
Salt Lake City Facial Plastic Surgeon
4.9 out of 5 stars 90 reviews

7 day flash recovery with scarless closed rhinoplasty!

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Your desire is EXTREMELY realistic, and possible with a scarless approach (no external cuts).  You would be back to work in 7 days with no cuts or scars at all and no tell tale signs of surgery at all. 

This would be straight forward, but like all noses, they are all complex at the same time. Depending on the rest of the nose, if literally this was all that would be needed, your cast would come off on day 5 after surgery and you would have NO black and blue or bruising at all and would have no cuts or scars outside at all. 

Consult a closed rhinoplasty specialist who performs closed rhinoplasty as 100% of his surgical practice. 

Deepak Raj Dugar, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 16 reviews

Rhinoplasty candidate

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The nose is a three-dimensional structure,  so a full set of facial photographs are required to make the determination about what may be needed with a difficult , three-dimensional surgical procedure. From the limited side profile photograph, the dorsal cartilaginous hump can be shaped down. The real question is what will it look like from the frontal profile? For more information about rhinoplasty, please see the link and the video below

Rhinoplasty for a Straight Dorsum

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Dear 51stockj, The profile angle alone is not sufficient to provide answers to your questions. An in office examination would best determine a diagnosis and then a surgical plan can be set to provide you with the desired nose you are looking for. The reduction of the dorsum to attain a straight nose should be a fairly straightforward procedure in the hands of a skilled rhinoplasty surgeon with a rapid recovery. It is important that you choose a surgeon who provides natural looking rhinoplasty results so do your homework and review the surgeons before and after photographs to ensure natural looking noses. Also have imaging performed to see the proposed results and make sure that you and your surgeon are on the same page. You do not want your dorsum over reduced or your tip over rotated or shortened. Best regards, Michael V. Elam, M.D.

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 213 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.