Correction Possible for my Dorsal Hump?

I have a hump on my nose and I want to get it removed. Is my nose a candidate for only the removal of the hump or would more work be recommended? With the size of my bump how difficult would the procedure be, and how much would it cost? Picture included.

Doctor Answers 18

Nasal bones need to be narrowed as well

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Once removing a hump of that size, usually the nasal bones will need to be narrowed; otherwise a flattop open-roof deformity will result. It is pretty rare to be able to do only a hump removal unless it is very small. Cost of the rhinoplasty is approximately $5700, which includes the surgeon’s fee, anesthesia fee, and operating room.

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Hump rhinoplasty only

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Your side view indicates the presence of a small osseocartilaginoius hump which could be managed with a reduction. The decision to do more depends on your desires. Generally management of the tip will be completed if you desire a change in the appearance.

Costs will vary tremendously depending on several factors.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Dorsal Hump

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In general, you can do as little or as much as you want with rhinoplasty surgery. After a thorough evaluation by your surgeon, you will decide what you will change. Cost will vary depending on what is done, not the size of your hump. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

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Hump Removal Can Improve Profile

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Removal of a hump on the bridge of the nose (dorsal hump reduction) can create a dramatic improvement in the profile. It is possible to remove only a hump from the bridge. This can be accomplished by rasping (filing down) the hump through incisions made on the inside of the nose (closed rhinoplasty). Usually, if a hump is removed, the nasal bones must be surgically broken (osteotomies) to narrow the nose and close any gaps created after the hump is removed.

However, in order for the nose to appear natural and attractive, the nose must have certain proportions in terms of its length and its projection. Sometimes, filing down the nose (while improving the hump) can cause the nose to look unnatural or "operated on". This may require some adjustments in the other areas of your nose to keep it proportional and in balance and harmony with your other facial features. These other changes may include decreasing the tip projection or the amount of rotation.

Seek the advice of a surgeon who specializes in rhinoplasty. Many rhinoplasty specialists can show you with computer imaging techniques what your potential result would look like.

C. Spencer Cochran, MD
Dallas Facial Plastic Surgeon
4.7 out of 5 stars 149 reviews

How to treat your profile nose-bump.

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The picture you posted only shows a single view of your nose, so it's difficult to tell what would be your best option. It seems that your tip is overprojected (comes out too far from your face), and you might benefit from a rhinoplasty to address the bump, and to address your tip.

You should consult a board-certified, experienced rhinoplasty surgeon with many favorable photos.

I hope this helps, and best regards.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon
4.9 out of 5 stars 435 reviews

Dorsal Hump

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A dorsal hump can be taken down to improve the profile. The smaller it is the less likely you will need infracture of the bones.    

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Rhinoplasty to Correct a Dorsal Hump

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Hi Leah,

Yes, your dorsal nasal hump may be removed. I would advise a subtle rhinoplasty. Your hump can be rasped down (like using sand paper, but stronger). After taking down the hump, your nose would need to be re-evaluated to determine if other maneuvers would be necessary to give you a well balanced nose in harmony with your face.

I have put the cart before the horse though. First it is essential for you to be evaluated by a rhinoplasty specialist who will examine your nose and make a proper diagnosis of what is causing the problem that is bothering you. Then your surgeon should create a plan to address the problem and know before surgery what else may be required to meet your desired result.

The size of the hump does not determine the "difficulty" level of rhinoplasty, nor the cost. The more experienced a rhinoplasty surgeon is, the more they know that there is no such thing as an "easy" rhinoplasty. Your cost will vary depending on the skill and experience of your surgeon as well as geographic location, anesthesia costs, and operating room fees.

Take your time and choose your rhinoplasty surgeon carefully.

Be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

How to fix a dorsal hump

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Obviously, a complete recommendation is not possible without a consultation and physical examination. However, generally speaking, the hump on the nose can be shaved or chiseled down, or alternatively, a non-surgical rhinoplasty can flatten the dorsal hump by building the nose up above and bellow the nasal hump.

In a non-surgical rhinoplasty, an injectable filler such as Radiesse is injected under the skin during an office visit. This will give a a temporary result for about a year or two. The cost is between 1000 to 2000 dollars.

Traditionally rhinoplasty will give a permanent result and allow other parts of the nose such as the tip or the width to be modified. The surgical option can cost between $6000 to $8000.

Maurice M. Khosh, MD
New York Facial Plastic Surgeon

See a rhinoplasty specialist.

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 The pictures you have supplied don't tell the whole story. Sure, just the bump can be removed. It would be a better idea to have your nose evaluated by an experienced rhinoplasty surgeon whose work looks good to you.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

Keys to a beautiful profile

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Almost everyone who seeks removal of a nasal hump does so in order to make the nose look smoother on profile. With that assumption, there are several important things to remember when one is looking to improve the profile of the nose.

1. If a hump is removed, several other things happen to the nose which may require additional measures. For example, if the bone and cartilage of a hump is removed, the bridge of the nose is essentially "uncapped". There may then be an open space and increased width to the bridge. This typically is treated by cutting the bone to narrow the bony part of the bridge and using cartilage grafts to close the open space of the cartailge part of the bridge (below the bones).

2. If the bridge is lowered a lot, there can be excessive skin that will not easily drape back onto the lowered nasal skeleton. This can cause unwanted fullness of the skin over the lower part of the bridge, the so-called polybeak deformity. When one has thick, stiff skin and a large hump, it may be better to be more conservative with hump reduction and elevate the bridge above the hump and bring the tip forward. An ideal profile is one in which the root of the nose, the bridge and tip and aligned favorably.

3. The more a bridge is lowered, the wider the nose looks on the front view. Someone with a narrow nose to start with may look fine after the nose becomes a bit wider. But someone with a wide nose and a high brige or hump may look too wide after surgery. In these cases, the front view suffers in order for the side view to look better. My belief is that the front view is more important. After all, we don't interact with others turned 90 degrees to them!

4. Other facial features can contribute to the overall profile of the face. In your photo, I notice that you have a slightly undersized chin for your face. By increasing the projection of the chin, the overall facial profile would be in better balance. The smaller the chin, the bigger the nose looks.

Fees vary a lot around the US. $5-10K is a realistic range.

David W. Kim, MD
Bay Area Facial Plastic Surgeon
4.8 out of 5 stars 39 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.