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

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.

Peter E. Johnson, MD · Answer

We feel it is unusual to complete the hump reduction without adjustment of the tip both in shape and projection of the tip relative to the new dorsal height. In our practice a complete rhinoplasty would be best. Best luck with your search.

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

Answers (5)