Can I Get Rid of This Nasal Hump Without Surgery? And if Not, What Must Be Done to Have a Better Profile? (photo)

Question

I'm "okay" with how my nose looks from the front; The only thing that seriously bothers me is the fact that I can notice my "little bump/hump" in pictures. I don't remember having it when I was a child, so I'm wondering if it came from me wearing glasses (i.e. my glasses putting too much pressure on that part of my nose). The hump is right where my glasses sit, so if that were the cause I would assume that it just developed over time. I'm hoping it can be easily fixed.

Louis M. DeJoseph, MD · Answer

It appears you have a slight hump on your nose.  This can be softened with some filler above and below to make it appear straighter.  Use a hyaluronic acid filler such as Restylane or Juvederm for this.  In the hands of an experienced injector this can make a powerful change in 10 minutes.  Hope this was helpful.

	 

	Best

	 

	Dr D.

Matthew Richardson, MD · Answer

A small nasal hump like the one pictured in the question can be permanently treated with rhinoplasty surgery, but an alternative to surgery would be filler injections. A filler can be placed above and below the hump in order to create a smooth profile and smooth bridge of the nose. Hyaluronic acid fillers (like those in the Juvederm family) are used most commonly, and while temporary, provide a quick and dramatic improvement that can last many months or even a year or two in some cases. 
Be sure to see an expert injector who is also a rhinoplasty expert as the nasal anatomy is quite complex and these are advanced injection techniques.
All the best,

Eric M. Joseph, MD · Answer

I read your concerns and reviewed your photos:

	In my practice, a small profile bump like yours may be managed without nose job surgery by injecting filler above and below the bump. My personal preference is to use Silikon-1000, an off-label filler for permanent results.

	Hope this helps.

	Dr. Joseph

Steve Laverson, MD, FACS · Answer

This small "hump" on top of nose is NOT from your eyeglasses. In agreement with other responders, the simplest fix is injectable filler above and below the rise. Aquamid is very long lasting and has a natural texture. Radiesse, Juvederm, and/or Perlane/Restylane also possibilities. Rhinoplasty is the alternative.

Ira D. Papel, MD · Answer

The highest part of the nasal bride, often referred to as the Hump or bump, is usually the result of inherited traits, prior accidents, or both. To flatten out this area, which is usually made of both bone and cartilage, requires surgery to do it permanently and accurately. There are temporary procedures, such as using fillers, but this can be unpredictable and short lied. Some fillers can cause inflammatory reactions and leave you with permanent damage to the skin.

	The best advice is to visit with an experienced rhinoplasty surgeon to discuss what your best options are.

Jamil Asaria, MD · Answer

Two options for the small bump.

	Best option for permanent result is a very straightforward rhinoplasty. If you really want to avoid surgery an injectable filler will probably give you a pretty good result. This uses a small needle to inject a material which will result in a smoother nasal profile. The downside is that it is temporary and will last 6 to 18 months.

	Best wishes,

	-Dr. Asaria

Toby Mayer, MD · Answer

Rhinoplasty for the nasal bump involves filing the bump down. The rest of the nose can be left alone if you like--no non surgical way to do this.

William Portuese, MD · Answer

The dorsal hump is composed of both bone and cartilage, and  the only way to get rid of bone/cartilage is to surgically shave down the hump. Osteotomies of the nasal bones may also be required to prevent an open roof deformity.  Wearing glasses will not create a nasal hump. Hump removal rhinoplasty is relatively straightforward for an experienced rhinoplasty surgeon.

Pouria Moradi, MBBS, FRACS · Answer

Hi Elaine

	You have 2 options available to you:

	
		Surgical: That is a formal rhinoplasty to removed the hump and reshape your nose
	
		Non-Surgical: This involves a filler injected lower than the hump to camouflage the hump. This of course is a temporary solution which needs reinjecting about once a year. You can ask your surgeon to inject saline in the area which gives a very quick augmentation, if you like it, then you can proceed with the filler.


	I hope this helps and good luck.

	 

	Pouria

Steven Wallach, MD · Answer

A small hump may be camouflaged with filler but they are not permanent.  usually a rhinoplasty can take care of it permanently.

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