Correcting a small dorsal bump
Thank you for your inquiry!
It seems that you could be a good candidate
for a minor corrective approach addressing your concern.
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.
Ali Sajjadian, MD FACS
There are cases where simple filing of the bridge to reduce a dorsal hump can give the result you want. However, in most cases, when you reduce the hump, the nose looks wide and then the bones need to be broken as well. I would suggest you go ona few consults with surgeons in your area known for their rhinoplasty work.
Filing or rasping a nasal hump
Thank you for your question and photograph. A small nasal home for dorsal hop can certainly be treated by rasping or filing in many cases. The concern is that lowering the nasal dorsum can make the nose appear wider, which is a concern of yours. In addition if too much bone is rasped it can create an open roof deformity where both nasal bones are visible through the skin.
Be sure to consult a plastic surgeon who is certified by the American Board of Plastic Surgery, experienced in rhinoplasty surgery, and who has an excellent reputation in your community.
Sometimes filing is not enough to fix a hump
According to the pictures presented, most of the bump on the nose is cartilage, which can be shaved down. It is not bone. The tip droop when you smile is related to the ligament that holds the tip ligament that is attached to the smile muscle. This is typically released at the time of the surgery so that the nose stays straight on animation and smiling. Once the hump is removed, both cartilage and bone, the sidewalls most likely will need to be narrowed.
A surgeon can file a nasal hump, but I don't think that is appropriate as an isolated procedure for you. You have a broad hump; filing it will make your bridge even wider. This can be corrected by moving the nasal bones closer together. Don't try to plan the operation by yourself. Talk to a physician with experience.
Complete rhinoplasty for overall improvement
Ricardo, your nose is probably too wide at the level of the boney pyramid for simple rasping to work well. You would be much better served to consider conservative boney and cartilaginous hump reduction and osteotomies (controlled chisel cuts) to effect narrowing along with modest tip refinement and perhaps some rotation. The width of the base can be narrowed if the base is too wide and this may reduce the widening when you smile a bit. See an experienced rhinoplasty surgeon and have a complete consultation along with computer imaging.
Rhinoplasty and Dorsal Hump Reduction
It is hard to assess how big your dorsal hump is but I would not overly concern yourself on how the hump is taken care of. What you should care about is that it is done right and proper by the best plastic surgeon that you can find for the job.
Whether it is filed down or rasped or an osteotome is used makes no difference on your outcome, so dont concern yourself with this as they are simply different techniques to reach the same outcome.
Filing or rasping a nasal hump or bump
In the case of a minor reduction (less than 3mm or 1/8 inch) rasping of the nasal dorsum can reduce the hump or minor bumps. From the limited view of your nose it appears that you also have a wide hump which filing/rasping will not help.
A small dorsal hump can be treated by just shaving. However, shaving down a bony ump may cause a flattened appearance which will then need to be infractured to close the "open" roof.
Rhinoplasty and the Nasal Hump
No wonder you are a "confused" guy, take those eye patches off so that you can see your nose.
A dorsal hump is usually viewed from the side or profile, it is the bump on the mid to upper part of the nose. You appear to have lateral wings likely comprised of cartilage and bone. The cartilage can be shaved down, the bone can be rasped or "filed down".
The $64,000 question is once "the offending party" as one of my Brit patients termed it is removed, will other parts of the nose need to be "blended" to give you a natural dorsal line. That would be best determined by an in person examination.
When we smile, the muscles of facial expression pull laterally giving a "widening" appearance to the nasal base. It does not appear that you will need much narrowing of your base.
Choose your rhinoplasty surgeon carefully after consulting with a few.
Good day, and be well.