Best method to remove bump on the nose? (Photos)

Question

I have a very large bump on my nose which is my biggest insecurity. I'm wandering what the best method for removal is. I've read of nonsurgical rhinoplasty and if this is possible for the hump on my nose that would be best because of price. Feed back is appreciated greatly!

Matthew Bridges, MD, FACS · Answer

"Non-surgical" rhinoplasty is a technique where filler is used to give the illusion of a straight bridge on profile.  The filler is typically placed at the root of the nose (between the eyes) to fill in the area above the bump.  This works well with smaller bumps.  Larger bumps in females may not work well with this technique, because the nose can look large and Roman sometimes.  The nose can look longer as well because the apparent starting point of the profile is raised by the filler.  The only way you will know if you are a candidate for this is to see a rhinoplasty surgeon.  I stress that you should see a rhinoplasty surgeon, as opposed to a dermatologist, or other non-surgical injector.  I mean no offense to that group, but I think you need to see someone who deals with nasal proportion and balance on a daily basis, ie a surgeon.  Personally, I don't like the idea of filler in the nose for most patients.  Also, know that fillers will have to be repeated since most are not permanent.  Stay away from permanent fillers, ie silicone.

Steven Goldman, MD · Answer

Interestingly, a lot of rhinoplasty surgeons do not perform non-surgical rhinoplasty, which utilizes injectable fillers to perform maneuvers like camouflaging a hump on the nose, reshaping the nasal tip, or hiding asymmetries. The advantages of non-surgical rhinoplasty include less cost than surgery, almost no downtime, and minimal risk of creating too radical a change in the nasal appearance. The disadvantages include that the effects are temporary (lasting a few months) and the nose cannot be decreased in size; the effects are achieved only by adding volume to the nose. But I think the main concern with non-surgical rhinoplasty is that some patients view it as equivalent to surgery, but it is not, because--as noted--volume can only be added to the nose. Many, if not most, rhinoplasty patients need reduction of various structures of the nose. Also, all procedures have risk, even filler injection; these should be reviewed with your surgeon. In your case, your pictures suggest that you do have a hump that could be minimized with filler injection, but your nose also is overprojected, which makes it look a little large. Ideally, cosmetic enhancement of your nose would involve reducing the hump and deprojecting the tip. You have nice tip rotation and nice facial esthetics overall. While a chin reduction is possible, a prominent chin is not, in my opinion, a major esthetic concern and can be balanced with fillers or fat injection with or without reduction. Good luck. Thanks for your question.

Bahman Guyuron, MD · Answer

The best approach for the removal of the nose bump is surgery. You would also be a good candidate for reduction of your chin projection. In fact either you have to undergo both or none since if you make your nose smaller your chin will look larger and visa versa. Otherwise filler is a better choice than undergoing rhinoplasty alone.Good Luck

Paul E. Goco, MD · Answer

Thank you for your question. Looking at your photos, your nose does not look like it is a good candidate for the non-surgical rhinoplasty technique.  In the non-surgical rhinoplasty, fillers are used to help correct or "hide" deformities in the nose.  I am afraid, the non-surgical rhinoplasty will only make your nose look bigger.  You are definitely a surgical rhinoplasty candidate to give your nose a smaller size and better contours for your face. Good luck.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from a nasal tip de-projection and a conservative dorsal hump reduction.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Robert Singer, MD · Answer

Usually, prominent nasal bridges and humps can be improved to achieve a natural appearing better cosmetic with an artistically performed rhinoplasty. There is no long-lasting non-surgical procedure than can remove the bump. Fillers will make your nose look larger, not more refined.

I would suggest you find a plastic surgeon with extensive nasal surgery experience who is certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or a 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

Best method to remove bump on the nose? (Photos)

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Answer: Best method to remove bump on the nose?

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Best method to remove bump on the nose? (Photos)

Answers (11)

Answer: Non Surgical Rhinoplasty Candidate ???

Answer: Non Surgical Rhinoplasty Candidate ???

Answer: Rhinoplasty

Answer: Rhinoplasty

Answer: Best method to remove bump on the nose?

Answer: Best method to remove bump on the nose?

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