I've had a number of consults for a rhinoplasty. In general I like my nose and my tip but want to fix a slight hump that's really only visible on 3/4 view. Is it possible to fix this with rasping only given I'm otherwise happy with my front view of my bridge and tip?
December 16, 2022
Answer: Can my dorsal hump be shaved down without breaking my nose? While it is possible to rasp a dorsal hump such as yours via access through an internal nostril incision, we have found, over time, that this approach results in a high frequency of secondary revisions. Most commonly, the dorsal hump is composed of both cartilage and bone, each of which is optimally addressed with different instruments and techniques. The precision of such a treatment is optimized by direct visualization. Accordingly, we therefore prefer to take down a dorsal hump, such as the one seen in your photographs, by an open approach, rather than by simply rasping it in a closed fashion.
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December 16, 2022
Answer: Can my dorsal hump be shaved down without breaking my nose? While it is possible to rasp a dorsal hump such as yours via access through an internal nostril incision, we have found, over time, that this approach results in a high frequency of secondary revisions. Most commonly, the dorsal hump is composed of both cartilage and bone, each of which is optimally addressed with different instruments and techniques. The precision of such a treatment is optimized by direct visualization. Accordingly, we therefore prefer to take down a dorsal hump, such as the one seen in your photographs, by an open approach, rather than by simply rasping it in a closed fashion.
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November 16, 2022
Answer: Dorsal hump Most dorsal humps require removal with a rasp or osteotome followed by osteotomies ("breaking the nasal bones") to close the so-called "open roof" deformity that results. There are some bony humps that can, however, be rasped down by a few millimeters without needing to break the bones. Yours may be one of them, though it's a little hard to tell by just a couple of photos. An in-person consultation is best, as the hump can be palpated to see how much of it is bone.
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November 16, 2022
Answer: Dorsal hump Most dorsal humps require removal with a rasp or osteotome followed by osteotomies ("breaking the nasal bones") to close the so-called "open roof" deformity that results. There are some bony humps that can, however, be rasped down by a few millimeters without needing to break the bones. Yours may be one of them, though it's a little hard to tell by just a couple of photos. An in-person consultation is best, as the hump can be palpated to see how much of it is bone.
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