Rhinoplasty for Minor Dorsal Hump Correction?

Hi, I'm considering a Rhinoplasty. However, I keep getting anxious that it would make my nose appear too small in comparison to the rest of my face, would this be true?

The main issues I have with my nose are a small dorsal hump and slight plunging tip and wide tip? All are quite minor, however, I feel really concious of them.

Doctor Answers 12

Goals in Rhinoplasty Surgery

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Your concerns are common. None of us want a result that looks like a "nose job". It is important to sculpt a nose in proportion with other facial features. Select an experienced surgeon who has aesthetic tastes similar to yours.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Subtle Rhinoplasty

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Hi Judey,

A subtle rhinoplasty should achieve your nasal cosmetic goals.  Make sure that your rhinoplasty surgeon understands what bothers you and what you want.

For more on the Subtle Rhinoplasty click on the Web reference listed below.

Be well.

Dr. P

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

Rhinoplasty results.

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Almost certainly, the changes you want in your nose can be achieved, and your nose can be left so it looks natural on your face. You need an experienced plastic surgeon with a good eye.

My web site has links to the plastic surgery societies, where you can get names near you. And be sure to ask to see lots of before and after pictures.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Rhinoplasty Can Correct Minor Dorsal Hump and Other Problem Areas of The Nose

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The goal of any rhinoplasty is to produce a nose that looks natural and functions well. One of the most common reasons that patients seek rhinoplasty consultations is to learn about dorsal hump reduction.

A dorsal hump is comprised of bone and cartilage. To remove the hump, the rhinoplasty surgeon files down the bone and trims the cartilage to the appropriate height to give the profile the desired contour.

Sometimes, it is possible to correct one isolated problem -- such a a dorsal hump -- without having to change or disrupt other parts of the nose. More frequently, small adjustment need to be made to other parts of the nose to keep the nose proportional and in balance with the other facial features.

One of the most beneficial aspects of a rhinoplasty consultation is having your photographs morphed (computer simulation) to give you an idea of how your nose might look with various changes. Recently, 3D imaging has become available (see link below).

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

See a competent plastic surgeon

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You must consult with a well trained, experienced rhinoplastic surgeon. Talk to them - look at their work and have all of your questions answered to your satisfaction. We do make small changes that give you quite an improvement.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews

Rhinoplasty for minor dorsal hump correction? Rhinoplasty

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The answer depends on your expectations, communication between you and your doctor and his expertise.

You should be able to get a good result. Computer imaging can help with communication - your pictures are manipulated to demonstrate possible out comes. You can bring in pictures of noses that you like and dislike. Then it is up to your doctor to assess if your goals are realistic.

Michael Kulick, MD, DDS
San Francisco Plastic Surgeon
4.3 out of 5 stars 12 reviews

The surgeon you choose is the most important decision

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The most important part of getting a good result from plastic surgery, is the surgeon that you choose. Techniques have improved along with improved anesthesia and improved instruments. What you have described sounds fairly straight forward but discuss your concerns with your surgeon.

I tell patients that my philosophy is that plastic surgery should "whisper and not scream." A well executed rhinoplasty will improve your appearance and will fit your face.

Darrick E. Antell, MD
Manhattan Plastic Surgeon
4.7 out of 5 stars 37 reviews

Know what you are getting into

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Hi Judey,

Rhinoplasty for a dorsal hump can be performed by skilled nasal surgeons in a way that would not look too small for your face.

The key is to pick a surgeon with a lot of experience in rhinoplasty, and one that can show you computerized images of your proposed outcome. Although there is no guarantee that your surgical outcome will be exactly the same as your "digital" outcome, it does help to see waht the surgeon plans for you. It will also help you to get a feel for what the surgeon's aesthetic sense is, and if it matches with yours.

Behrooz Torkian, MD
Beverly Hills Facial Plastic Surgeon
4.3 out of 5 stars 17 reviews

See a rhinoplasty specialist.

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 You should be able to have a better looking nose without it being too small or artificial looking--that is what makes a good surgeon! Pick an experienced rhinoplasty surgeon who can show you patients he has operated on with similar noses to yours.

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

Rhinoplasty concerns

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You should have a very thorough consultation with a board certified plastic surgeon or facial plastic surgeon with exp[experience in rhinoplasty techniques - open and closed. Do not be afraid to ask questions. Your physician should ask you what your concerns are, what your goals and expectations are and not tell you what they should be. Only after a thorough consultation to discuss the above along with a good examination of the nose (internal and external) as well as a medical history, would your physician then be able to tell you if he/she can achieve your goals. Some patients are unrealistic in their expectations and it is important to know what the limitations of any surgery are. Ask your physician what his/her experience is, why they recommend one procedure over another, what their patient satisfaction rate is, show you photos and let you talk with other patients. You need to develop a level of comfort and confidence with the physician who will basically do something to your face that will last a lifetime. Spend the time you need to educate yourself and get a second opinion to weigh what you are told. When one physician says something that is different than the first, ask why they said that.

Theodore Katz, MD, FACS
Philadelphia Plastic Surgeon

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.