Removing Nose Bump Without Breaking the Nose?

I am 20 years old and I have always felt insecure about the bump on my nose. I have been reading a lot about Nose surgery and I have heard people just getting it filed down without having to break the nose.

What is this called? What is the procedure? And what are the estimated costs?

Doctor Answers 73

Reducing nasal dorsum

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Fullness on the bridge (or dorsum) of the nose may be reduced without also manipulating the nasal bones in some patients.  If the fullness (bump) is mostly cartilage (and not bone) and does not result in the upper third of the nose appearing too wide or too flat then controlled breaks of the nasal bones (to narrow the upper third of the nose) may not be required.  This is a surgical decision your surgeon will make during your rhinoplasty procedure.

Depends on the size of the bump

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Small bumps may be filed. Large bumps require all parts of the bridge of the nose to be reduced which means fracturing the bones to close an "open roof." The only way to know for sure is to see a rhinoplasty surgeon. 

Stephan Finical, MD
Charlotte Plastic Surgeon

It depends but usually it's necessary

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When a significant bump is filed down this usually creates a flat surface on the bridge. In order to narrow this it is usually necessary to perform osteotomies of the nasal bones. This is a controlled cut or break in the nasal bone.  If the bump is small and the nasal bones are narrow and not deviated this may be avoided.

Humpectomy without fracture, cost

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Each individual is different. Some folks only need a little surgery, like taking down the hump. One may need cartilage trim. One may need in-fracturing. One may also want to reduce the projection of the nose. Sometimes operating on one part of the nose may effect another part. Best to see an experienced rhinoplasty surgeon. Visit with a few. Take a look at the before/after photos. Ask your questions. Together, you should be able to garner a plan to achieve your goals. The cost may depend on many factors, including the complexity of your nose, time spent in the OR, the city that you live in.                                                   

Removing Nose Bump Without Breaking the Nose?

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On rare occasions the nose bump can be removed without breaking the nose bones if you have a narrow nose with a small bump and there is no deviation of the nose. Often removal of the bump makes the nose look wider and may expose the underlying deviation and asymmetry which cannot be correct without breaking (osteotomy) of the nose bones. It is important to know that breaking the nose bones is not breaking the arm or leg bones. This are very thin bones that are gently move with special tools.

Removing a Nasal Hump without Breaking the Nose

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Yes, a bump can be removed without breaking the nose as long as the bump is not very large.  If the bump is large, then removing it results in a flat contour to the bridge of the nose.  This called an open roof deformity if it is not taken care of during the procedure.  To take care of this flat surface, the nasal bones are infractured to move them together to give a normal bridge.   If the bump is not too big, it can simply be rasped/ shaved down while maintaining a normal bridge contour.  I charge $7500 for a typical rhinoplasty.  If  a hump removal is all that is necessary, the charge would be less.

Jonathan Pontell, MD, FACS
Philadelphia Facial Plastic Surgeon
4.8 out of 5 stars 108 reviews

It depends on the size of the bump.

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 If the bump is small sometimes we don't have to break the bones. But this is the exception, not the rule. See an experienced rhinoplasty specialist and let him guide you so you don't end up with a bad result--it's your face. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Closed Rhinoplasty

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Hello,

Closed Rhinoplasty is a rhinoplasty approach that shaves down the nose.The goal is to refine the nose, not drastically change the nose.  By doing subtle refinements we are able to finesse the sculpt the nose to match your face perfectly.  By doing this via a scarless (closed) approach, there are no external cuts ever on your nose.  This prevents the dreaded complication of external scarring at the base of the nose, which even if rare, if it occurs, is devastating.  Through a scarless approach you can accomplish almost everything needed to be done to the nose with no scarring, less healing time, less bruising, and less swelling. Doctors will remove bone and cartilage in hundreds of micro-millimeter slivers to slowly and carefully sculpt the profile to the perfect balance.

Hope this helps,

Deepak Dugar, MD
Scarless Rhinoplasty Expert
Beverly Hills, CA 90210


Deepak Raj Dugar, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 16 reviews

To Break or not to Break

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The experience that I have in performing Rhinoplasty and other surgeries of the nose is decades long. When i perform Rhinoplasty to address a bump I use a rasp to file down the nasal cartilage. A surgeon does not "break" a nose, if it is required, the nose is fractured in a controlled manner. However, to address a bump the nose does not typically need to be fractured. Thank you for your question.

Gregory Roche, DO
Bloomfield Hills Facial Plastic Surgeon
4.0 out of 5 stars 16 reviews

Nasal hump removal

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Nasal hump can be reduced by using filing but it is difficult to do so for a large hump. The hump can have cartilaginous part which cannot be corrected without excision and filing will only shred it. So, small bony hump can be corrected with filing alone in some cases. 

Regards

Dr. Janjua

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.