Would you recommend a tip refinement for dorsal hump removal? (photos)

Question

I'm anxiously awaiting rhinoplasty and hope to select a dr soon for the procedure. I met with one who indicated no tip refinement was necessary, but everything I read says its unusual for a large dorsal hump to be removed without some tip refinement? I meet with the second plastic surgeon next week but wanted additional input as I see lots of helpful expert opinions here...thank you!!

Toby Mayer, MD · Answer

Tip plasty for only bulbous tip. If your tip is not bulbous then you just need hump removal without any tip work which I have done frequently over the past 35 years.

Ben Lee, MD · Answer

While it is possible to remove a dorsal hump and do nothing else, almost every nose could stand some tip refinement in the form of a cephalon trim of the lower lateral cartilages. It just adds balance.

Eric M. Joseph, MD · Answer

Based on your photo, you appear to have a long nose with a droopy tip and a large profile hump. A more feminine nasal appearance may result from both hump removal along with tip repositioning. If your surgeon does nothing except remove your hump, ligaments from your bridge to your tip may be disrupted, and you could end up with a droopier tip. Hump removal, along with tip rotation and support would be my suggestion, based on your profile photo.Hope this helps you.Dr. Joseph

Robert Singer, MD · Answer

In the appropriate patient, the dorsal hump can be reduced without doing anything to the tip. It depends on your individual anatomy and desired outcome.Keep in mind that following the advice from a surgeon on this or
any other website who proposes to tell you what to do based on a limited two
dimensional photo without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of each operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon certified by the American
Board of Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) or facial plastic surgeon that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD
FACS

La Jolla, California

Darryl J. Blinski, MD · Answer

Thanks for the RealSelf posting. YES I always recommend some tip and columella refinement to dorsal hump removals, especially to add a more feminization effect.

Would you recommend a tip refinement for dorsal hump removal? (photos)

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Answer: Would you recommend a tip refinement for dorsal hump removal?

Answer: Would you recommend a tip refinement for dorsal hump removal?

Answer: Would you recommend a tip refinement for dorsal hump removal?

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Would you recommend a tip refinement for dorsal hump removal? (photos)

Answers (9)

Answer: Would you recommend a tip refinement for dorsal hump removal?

Answer: Would you recommend a tip refinement for dorsal hump removal?

Answer: Would you recommend a tip refinement for dorsal hump removal?

Answer: Would you recommend a tip refinement for dorsal hump removal?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.