Partial dorsal hump removal - how to balance my nose out? (photos)

Hello, and thank you for providing images along with your question. Based on these images, you appear to be an ideal candidate for rhinoplasty, particularly a reduction rhinoplasty to address the dorsal hump. Because rhinoplasty is one of the most complex plastic surgery procedures, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Your surgeon will evaluate your nose, recommend the best course of action to address your concerns and goals, and help ensure the best possible outcome. Such experts will have an eye for facial symmetry too and may recommend other procedures (e.g., fillers, lasers, and other skin-tightening treatments) to help achieve facial balance.

What I love most about rhinoplasty surgery is how completely customizable it is! No two rhinoplasties are ever exactly the same because each is based on what the patient possesses anatomically, as well as what the patient wants. You are the only one who wakes up and looks in the mirror and sees what you see; therefore, you are the only one who can decide if you want to leave some of the dorsal hump. I have performed partial removals of the hump for some patients, while others want the hump removed completely. It’s all up to you – and you alone. I request that my patients bring in pictures of noses they like, as well as noses they dislike, so that we are on the same page about aesthetics. I agree with you that you have a large dorsal hump that can be filed down, but again, if you want to retain some element of the hump, that is totally fine! Another recommendation to help balance your nose, as per your question, would be to consider addressing your tip. If you wanted – but only if you wanted – this could be trimmed and reshaped so that the nose doesn’t plunge upon smiling. I recommend consulting in person with a board certified plastic surgeon to discuss your goals and expectations and see which procedures are right for you. The price can vary greatly based on the experience of surgeon, as the most experienced surgeons produce the most consistent results.

Rhinoplasty, partial hump removal: based on your photos you would appear to be an excellent candidate for a rhinoplasty. I don’t think very many plastic surgeons would recommend leaving part of the hump behind in a female. Earlier in my practice the few people that asked for that type of approach later wished they had not. You may have a slightly strong chin in terms of its forward projection. For this you may wish to consider a genioplasty. At any rate I would consult with a few rhinoplasty specialists before making a final decision.