Can Nose Hump Be Removed Without Changing the Rest of my Nose?

Question

I want to remove somewhat of large hump on my nose but i want to leave my nose the same. is it possible to shave the hump part down and leave my nose the same. I like my nose the way it is and i was wondering should i go for the procedure. Do you think my nose is in a really bad shape?

Ali Sajjadian, MD, FACS · Answer

Hi Jon,

	You can have only the hump removed by itself without doing anything else. The problem would be that you would get very natural looking appearance.

	After looking at your nose carefully these are the suggestions I have for you (without having access to the other views);

	
		Reduce the hump
	
		Shorten the nose slightly
	
		Improve the tension appearance of the nose
	
		Improve the columellar show
	
		improve the radix, glabellar region with graft,
	
		Improve the airway as needed.


	Have an evaluation by someone experience in ethnic nose and you should have a good result without changing the appearance of your entire face while getting a good result.

	Hope this was helpful.
	Dr. Sajjadian

Rod J. Rohrich, MD · Answer

Usually, it is not just the removal of the nasal dorsal hump that is needed. One needs to provide nasal balance of the nasal dorsum with the tip and the rest of the face. It is uncommon to remove the nasal dorsal hump without doing some finesse changes to the nasal tip. This requires operative expertise and experience of a rhinoplasty surgeon.

Michael A. Persky, MD · Answer

Hi Jon,

You appear to have a low nasal radix above your dorsal hump. An experience rhinoplasty surgeon can lower your hump with or without a radix graft to build up the area above the hump.  By adding the small graft less hump needs to be removed, and you have a natural "unoperated upon" appearance.  There may be very slight sculpting performed in adjacent. Good luck and be well.

Dr.p

Otto Joseph Placik, MD · Answer

Yes, shaving the hump may be the only intervention performed in a subtle rhinoplasty procedure. For larger humps, an open roof deformity may develop and lateral osteotomies may be necessary.

William Portuese, MD · Answer

Hump removal often involves more than just taking away dorsal hump on the nose. Once the hump has been removed, the sidewalls need to be narrowed with osteotomies to prevent open roof deformity. It is also important to make sure the tip will then balance with the remainder of the new nose. The tip must be in harmony with the remainder of the nose, so some type of tip work may need to be done as well.

Steven Wallach, MD · Answer

Removing a nasal hump and not makin any other changes may be possible. However, if the dorsum appears flatter, osteotomies are often necessary to improve the flatness.

Zain Kadri, MD · Answer

It depends upon how big your hump is . Mini humps may be rasped down ro create a straight profile without affecting the other components of the nose. However large humps may need osteotomis or dorsal grafts to close the "open roof" otherwis you are trading onr problem for another.

Olivia Hutchinson, MD · Answer

Rhinoplasty allows correction of different parts of the nose, whether the bony hump, tip, nostrils or any other aspects. Although the hump alone my be reduced, sometimes additional procedures, such as osteotomies, are necessary to produce the desired result. In depth discussion with your surgeon is essential prior to undergoing nasal surgery.

Peter E. Johnson, MD · Answer

Rhinoplasty is very flexible and it is common that the hump is the biggest issue, and occasionally the hump is the only issue. As a rule we change what is necessary to reach the 'goal' shape, and is only the hump is the concern no more need be changed. We have even had some men tell us that they want a very small hump remaining to keep their nose in character with their face, and maintain a masculine look. We use computer imaging and simulation to help us lock on to the right result.
	Best of luck,
	peterejohnsonmd

Peter A. Aldea, MD · Answer

Regarding: "want to remove somewhat of large hump on my nose but i want to leave my nose the same. is it possible to shave the hump part down and leave my nose the same. I like my nose the way it is and i was wondering should i go for the procedure. Do you think my nose is in a really bad shape?"

	By your own description your nasal hump is "Large". While small nasal humps MAY be taken down without needing to do other surgery on the nose, large nasal humps usually involve the upper lateral cartilages, septum and nasal bones. Removing of a large segment of the nasal roof requires breaking of the cheek bones along the nose and pushing them in to prevent a very wide appearing nose.

	If you like your nose, nothing else matters. However, while I do NOT think it is in "in a really bad shape", there are a lot of aspects of your nose that could be improved.
	- The nose is overly long - a mild shortening would be nice
	- The nose sticks out too far (overly projecting) - would look better if lowered a bit
	- the tip is plunging and a mild lift will make  it look better
	- there is columellar show - the middle of the nose is seen from the sides and could be fixed

	Good Luck

	Dr. Aldea`

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