Removing Nose Bump Without Breaking the Nose?

If you have a bump on your nose, just filing it down might work, if the nose is very narrow. But more often than not, just filing the bump will leave you with a flatter bump in the side-view, but a very broad bridge in the front view. Because of this I almost always (more than 95% of the time) break the nose as well, so that I can bring in the sides of the nose closer together and make the bridge narrower and nicer from the front. 
Try not to worry too much about the nose being broken. If it is done carefully, by someone who knows what they are doing (do your homework, and find a properly qualified, Board Certified/GMS Specialist) and you will hopefully find that it is not too bad.

Hello and thank you for your question. I don’t recommend reducing a dorsal hump without osteotomies as this can lead to an open roof deformity. A full rhinoplasty is a much better option. Cost varies based on surgeon expertise and geographic location. The total cost of primary rhinoplasty in my practice is $22.5k (all fees included). If you have breathing problems with documented nostril collapse and a deviated septum, then insurance can sometimes cover a portion of the cost. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

There are many options for those looking to remove unsightly bumps or asymmetrical features of the nose. While traditional rhinoplasty is one of the best options for permanent results, a non-surgical alternative might produce similar results without the pain and downtime of surgery. By injecting the nose with dermatological fillers such as Restylane, Juvéderm, and Radiesse, we are able to sculpt the nose to give it a more balanced appearance. Despite the fact that we are able to camouflage the bump in the nose, the nose itself cannot be made smaller through a non-surgical rhinoplasty.  

Options for removing or reducing the size of "bumps" on the nose, also known as dorsal humps, depend on the size of the bump along with the rest of your facial anatomy. Very small bumps may able to be reduced by filing down the bone. Most larger bumps do require breaking the nasal bones after the bump has been removed in order to prevent a complication called open roof deformity. An open roof deformity is the appearance of an unnatural-appearing flattening of the nasal bridge that can occur when a bump is removed. To prevent this from happening, the bones on the sides of the nose are broken and turned inward in a triangular fashion to give a more support and structure to the nasal septum. If you are interested in less invasive options to reduce the size of a bump on the nose, you may want to look into non-surgical rhinoplasty, where filler is injected into the bridge of the nose to create a smoother, straighter bridge.  

Gary Linkov, MD
Rhinoplasty Specialist
Manhattan

It sounds like you are describing a dorsal hump reduction.  This can sometimes be done without osteotomies, but other times fracturing the nasal bones is needed.  I recommend you schedule a consultation with a plastic surgeon for evaluation and further recommendations.  Best of luck.

The answer to your question depends on the size and location of the bump.  Sometimes the bump can be removed gently by a process call rasping.  Sometimes and more rarely, if it only involves the cartilaginous and lower portion of your nose it can be removed with simple excision.  But if the bump is larger and in the bony portion of your nose if it was just removed it can leave a broad and unsightly base below it.  This requires precisely breaking the nasal bones to narrow them and restore a natural contour.

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, MDScarless Rhinoplasty ExpertBeverly Hills, CA 90210

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. RegardsDr. Janjua

The problem is, if you just file down the bump you are left with a flat contour. Surgeons call this an open book deformity. The nasal bones need to be folded in. To do this, the bones must be broken. I charge $5000 for a rhinoplasty including anesthesia and the surgery center. I have attached a link to my website in case you wish to read more.

A "bump" on the nose can be filed without infracturing if the resultant width of the filed nose is not to wide and the skin above the filing is no too thin.  This is generally a decision that is made at the time for surgery.