What Are the Possible Risks in Shaving Down Nose Hump?

Thank you for your inquiry!To answer your question quickly, I believe the risk that is worth mentioning when shaving down your nasal bump is an open roof deformity where the nasal bones will be seen through the skin. Therefore, 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.



Good luck!!!



Ali Sajjadian, MD FACS

Most of the risks associated with complicated cosmetic surgery procedures, such as rhinoplasty, are dependent on the expertise of the facial plastic surgeon. While nose bumps can be shaved, avoiding full rhinoplasty in some cases, an inexpert shaving may result in a nose that is then too wide or flat. In your case, you would need a facial plastic surgeon who specializes in ethnic rhinoplasty. The amount of cartilage vs. bone and the type of cartilage varies and must be taken into consideration when planning a rhinoplasty. Your new nose must also be in harmony with your face and your unique identity.  After a hump reduction, the nose should be resupported with cartilage grafting to prevent changes in the long term. I hope this helps.

Removing a nose bump (dorsal hump) is a very common operation.  I don't know if either of the photos you uploaded are you or not.  The first photo would be treated different than the second photo because there is a deep set radix and this area should be augmented for a better result.  Complications of rhinoplasty include temporary or permanent nasal congestion, irregularities along the nasal dorsum, unflattering results.  Temporary swelling, bruising and oozing are expected and not considered complications.  Because rhinoplasty is a complex 3-dimensional operation, it is best to see a specialist.  See a rhinoplasty expert who can give you a detailed examination and make recommendations based on your unique anatomy.  All the best!

An often underappreciated consequence of shaving the bump is that the nose, from the front, will appear wider. An experienced rhinoplasty surgeon anticipates this, and should explain that additional maneuvers need to be performed during your rhinoplasty in order to once again narrow the nose from the front to maintain its initial width.  

Complications are uncommon following rhinoplasty, but in
rare cases they may occur for a variety of reasons. In the post-operative
period, patients undergoing rhinoplasty may experience bleeding, infection,
asymmetry, chronic swelling, numbness and prolonged tenderness.

                  Removal
of nasal dorsal humps may be associated with unique complications following rhinoplasty.
These include boney irregularities of the nasal dorsum, and rarely a
complication known as an open roof deformity. This occurs when the paired nasal
bones stay separated following take down of the dorsal hump because of
inadequate infracture.

                  Late
complications can also occur following rhinoplasty and removal of nasal humps.
Once swelling has resolved patients may not be happy with their aesthetic
result. In other cases, over resection of bone and cartilage can result in a
condition known as an internal valve collapse which can result in nasal airway
obstruction. In a small number of cases the hump can return due to calcium
deposits and scar tissue. Rarely excess nasal skin generated by removal of
dorsal humps can sag resulting in nasal deformities.

                  Although
complications can occur following this type of procedure they can usually be
minimized with appropriate surgical care and good
communication between surgeon and patient. 

Hello,
There are risks involved with any surgery. With rhinoplasty, a few associated risks may be asymmetry, irregularities, chronic swelling, infection, and bleeding. For a full explanation of risks to be aware of with rhinoplasty please see my youtube page and website. When performed properly by a highly skilled surgeon, a rhinoplasty should look great years down the road, and risks will be minimized.
A columellar strut can prevent the nose from drooping in the future. Extra skin is usually not an issue. It is difficult to determine exactly what your needs are without seeing your photos and/or performing an examination. If you wish, you may send any photos to my office and I would be happy to evaluate them for you. Thank you and best of luck.
Dr. Nassif

Drooping of the nose is a natural consequence of aging and happens irregardless of surgery. Although I am not aware of any study that has followed this process longterm, my experience would tell me that noses that are operated upon tend to sag LESS than natural noses (my opinion) over time.
Risks include but are not limited to infection, bleeding, hematoma, visibile or palpable irregularities, pain, tenderness, numbness, septal hematoma or fistula, epistaxis, synechia, vestibular stenosis, audible or restricted nasal obstruction, need for subsequent revisionary procedures, non-union, malunion, and inability to guarantee any specific cosmetic result.

There are complications associated with every surgery, including Rhinoplasty Surgery. Removing a dorsal hump is one of the most common conditions treated during rhinoplasty, and patient satisfaction is typically very high.

Your profile photo suggests you may benefit from slight tip projection and support that may be performed at the time of your Rhinoplasty Surgery.



I hope this is helpful for you.Dr Joseph

A small traumatic nasal hump can be safely filed down with very little risk associated with the procedure. However, sometimes depending upon how big the bump is an "open roof" can result that requires the bones to be gently infractured at the same time to close the open roof once the hump is taken down. I hope this information helps.

But as Dr. Pearlman said, sometimes you need to reset the nasal bones because they would be too far apart if this were not done. In more than 30 years of rhinoplasty, I have not had any complication from hump removal.