Is It Possible To Have The Bump Removed On My Nose Without Altering The Tip?

Nose hump reduction is a common procedure that can be very successful. With small humps, "shaving" with a rasp can easily do the trick. For moderate (such as yours) to large hump reductions, simply removing the hump creates what is called an "open roof deformity". To prevent this from happening, "osteotomies and infracture" are usually recommended. This means that the thin nasal bones just below the bridge of your nose are carefully fractured (broken) and then reset inward in order to close the opening created by the hump reduction. I recommend "closed" rhinoplasty, meaning that the incisions are all hidden on the inside of the nostrils ("open" rhinoplasty means that there is a scar on the skin bridge between the nostrils). I have a set of patient photos that show the results of these procedures (web link below). In experienced hands, you will have an excellent result but be sure to consult with a board certified plastic surgeon. Good luck!  

Removing the bump on your nose without touching the tip is possible and will make it more attractive. However, if your looking to shorten the length, surgery on the tip will be required.  The bump is actually lessening the appearance of length, and removing it may make it appear longer.  The most important thing about rhinoplasty surgery is good communication of your desires with the surgeon so make an appointment with a board certified plastic or facial plastic surgeon to discuss your best options.  Best of luck.
 

Thank you for your inquiry!It seems that you are a good candidate for a rhinoplasty that will improve the way your nose looks to complement your facial features in a natural fashion. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt. Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.Good luck!!!Ali Sajjadian, MD FACS

Hi,

Absolutely - you can remove the 'bump' on top of your nose without touching the tip. However, in order to shorten your nose, a full rhinoplasty is required. If you like your tip, then talk to your surgeon so that he will preserve it. Open and clear communication with your plastic surgeon is essential! So, please make your wishes known as clear as possible. Good luck, Dr. H

I read your question and reviewed your photos:

Your bump is particularly noticeable since your tip is droopy, and the angle between your nose and upper lip is too small. For an optimal result, you may benefit from tip rotation and nasal shortening along with hump removal.

You should consult several experienced rhinoplasty specialists to see what you could expect after well-performed Rhinoplasty Surgery.

I hope this is helpful for you.

Regards from NJ.

Hello Aylin,

Thank you for the question and the great photos.  A closed reduction approach to remove the hump on the dorsum (bridge) of your nose can be performed.  The actual length of your nose will not be changed because of this and I suspect the perceived length of your nose will actually look longer after a dorsal hump reduction alone.  I think a columellar strut (piece of cartilage used to support the tip) will also be needed to rotate the tip higher and "shorten" the nose.

All the best,

Dr. Remus Repta

The general size and shape of your nose is nice. Lowering the bump seen at the dorsum would soften your look and make your nose more effeminate.  This may be accomplished without major changes to the nasal tip, which in your case, I agree, is already very nice.

The caveat is that when the bump is lowered, small changes may have to made to the tip to keep the same relationship that your tip has to the rest of your nose.  In other words, when the bridge is lowered, it may be necessary to modify the tip so they are still in harmony.

The important thing is to keep your tip more prominent than the supratip area. I have attached a video response that   demonstrates the tip-supratip relationship.

Good luck in your search for information! 

The best rhinoplasties focus on the entire face - not just the nose - and not just the bump. Based on your photos (which are excellent, by the way!) I agree with several of the previous surgeons. "Removing the bump" without any shortening of the tip would leave you disproportionate. Discuss your plans with a competent facial plastic surgeon - use computer imaging to review your choices - and keep your mind open to tip surgery to achieve a lifelong satisfying result.

There are few instances when a hump removal can be done without adjusting nasal the tip.  The hump is composed of both bone and cartilage and is removed.  Once the hump is removed the sidewalls of the nose will need to be narrowed through osteotomies.  At that point, if the tip is in balance with the new bridge, then the tip is not altered.  

Short answer to your question is: Yes, it is possible to just remove nasal bridge without touching nasal tip.

Long answer to same question is: It is unwise to tie your surgeon's hand. If just the bridge is done your nose will look out of balance.  It will not look good. You need nasal bridge brought down.  Nasal tip needs to be made less bulky and delicate, nasal tip needs to rotate up, and angulation between nose and upper lip needs to be modified.

You have all the ingredients of a really beautiful nose. These ingredients just need to polished and sculpted. Do not short change yourself.  Have a complete nose job.