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.
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.
Dorsal bump reduction without breaking the nose
Many people are very concerned about having their nasal bones broken during rhinoplasty. . There are several reasons to break the bones during rhinoplasty which include: straightening crooked nasal bones, narrowing wide nasal bones, and preventing a wide appearance after hump removal. It is possible to reduce a bump without breaking the bones but it depends on the appearance of one's nose preoperatively and what their desired outcome is. The issue is that once you shave down the bump, the dorsum (or bridge) will look wide. If the bump is small, or the nasal bones are very narrow to start than it is possible to avoid resetting the bones. The decision is best made at the time of surgery. It would be worse to go through surgery and, just to avoid breaking the bones, you ended up with an unnatural appearing nose that was broad and flat. It is important that you address this concern during your consultation.
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.
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.
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.
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.
With rhinoplasty surgery we can do as little or as much as is necessary. I have removed a small hump without breaking the nose. It depends on the size of the bump. Consult with an experienced surgeon. You do not want to get rid of the hump, but make the nose look worse.
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.
Nasal dorsal rasping, is it enough?
Your question is interesting and the answer has to do with esthetics and geometry. The nose in cross section at the nasal bones would look like a triangle. The base would be where the nose sits on the face and the tip would be the nasal bridge or dorsum. When the nasal dorsum is rasped down a flattening of the tip of the triangle is taken down.
If the the nose is wide, or with our triangle analogy, the base of the triangle is wide, the nose is left with a wide flat surface on the dorsum. From the side view, the nose would have its better sloping contour, but from the front, the flat surface would be abnormal looking. In this case, controlled fracturing of the nasal bones (at the outer base of the triangle) is needed to bring the nasal bones to the midline closing off the flat area on the dorsum.
If the nose is narrow, and the dorsum is not excessive, dorsal rasping can be done alone because there would not be the relative flattening seen with the wide nose. Nasal dorsal rasping alone is rare in my practice because although some could benefit from rasping alone, most patients noses can be dramatically improved with the nasal fracturing.
Try not to get to visual with "breaking the nose". It's routine and in the right hands can give you much more of a result than rasping alone.
Thanks for your question.All my best.