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 66

Reducing nasal dorsum

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.

Sarasota Facial Plastic Surgeon
4.6 out of 5 stars 28 reviews

Depends on the size of the bump

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
5.0 out of 5 stars 12 reviews

It depends but usually it's necessary

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.

Richard Rival, MD, FRCSC
Toronto Facial Plastic Surgeon
4.6 out of 5 stars 60 reviews

Humpectomy without fracture, cost

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.                                                   

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 16 reviews

Removing Nose Bump Without Breaking the Nose?

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.

Bahman Guyuron, MD
Cleveland Plastic Surgeon
4.8 out of 5 stars 21 reviews

Removing a Nasal Hump without Breaking the Nose

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 102 reviews

It depends on the size of the bump.

 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
4.7 out of 5 stars 32 reviews

Removing a dorsal hump without osteotomies. Is this possible?

Thank you for sharing your questions and concerns.  This is a very common question many potential rhinoplasty patients ask.  In general, if the dorsal hump is a relatively small it may safely be removed with a minimal amount of rasping.  However, if the dorsal hump is any larger than "small", removing the dorsal hump without osteotomies to narrow the nose may make the nasal dorsum appear wider, and therefore worse, than before surgery. If you're seriously considering rhinoplasty, be sure to select a surgeon with a lot of experience in all aspects of rhinoplasty, including dorsal hump removal and osteotomies. Good luck! Dr. Harmych

Brian Harmych, MD
Cleveland Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Nose "bump" reduction without "breaking the nose"

Removing the bump from the bridge (dorsum) of the nose occurs from removing cartilage and/or bone.  When the hump is lowered from removing bone, sometimes this may warrant that the nasal bones be narrowed in order to prevent what rhinoplasty surgeons will refer to as an “open roof deformity.”  This surgically caused deformity is one in which the upper portion of the nose which involves the nasal bones appear flat, similar to a plateau, when viewed straight on.  It basically is the remaining portion of the nasal bones at the plane in which the excess bone was removed.  To correct this, a very tiny osteotomy (chisel) is placed through an incision inside the nose, and a delicate cut is created at the base of each nasal bones where they attach to the face (this is what you are referring to as “breaking the nose").  This allows the surgeon to mobilize the bones and gently move them closer together in the mid-line of the nose, and as a result remove the flat plateau and re-create the natural curve of the bridge when viewed straight on or base view (from below.)  The larger the bony bump that is removed, the more likely the nose will need to be “broken.”  Please know that “breaking the nose” typically doesn’t change your degree of discomfort after surgery, but can increase to some degree the amount of bruising.

Hope you found this answer helpful.  All the best!

Burke Robinson, MD, FACS
Atlanta Facial Plastic Surgeon
4.7 out of 5 stars 51 reviews

Hump reduction without fracturing the nose

Thanks for your question. It is possible to reduce the dorsal hump of a nose in well selected patients. Structural grafting (augmenting portions of the nose with cartilage) in key areas can sometimes eliminate the need for nasal fractures. It also seems that many practices are using injectables in a similar matter to change the shape of the nose. Preoperative imaging and patient education in the office setting can help determine the need for nasal fractures and bony work prior to a surgical effort.  An experienced rhinoplasty surgeon should be able to help each patient safely accomplish their goals.

Stephen P. Smith, Jr., MD
Columbus Facial Plastic Surgeon
5.0 out of 5 stars 24 reviews

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.