Best Way to Smooth/flatten the Hump on my Nose? (photo)

Hi there,

As the other surgeons have advised, you have a tension nose, due to septal overgrowth.  This not only gives you a hump, it also pushes the tip forward and stretches your upper lip forward.

A septorhinoplasty can correct it. A lesser procedure won't correct it.

This is an operation which takes around 2 hours.  It can be done as day surgery, or an overnight stay. Cost is dependent upon several factors.  If you have health insurance and have genuine breathing problems, which is not uncommon in tension noses, then some health insurance coverage may apply. Don't count on it though, if you have no history of breathing problems or nasal injury, then most likely health cover will not apply.  A consultation will sort this out for you, and answer all your queries, including cost.

The key to rhinoplasty is communication.  3d computer imaging is important in this. IT's not the nose you have which is the issue - it can be changed.  It's the nose you would like to have which is more important in the consultation.  So think about what you are looking for, what kind of noses you like, and when ready the place to start is to book a consultation with a plastic surgeon who is an experienced rhinoplasty surgeon.

All the best

Howard Webster

 

       The hump can be reduced and the profile improved through a closed rhinoplasty approach.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

You have a classic "tension" nose.  This is caused by excessive septal cartilage "pushing" the tip out and sometimes up.  The starting point of your nose, or radix, also may be a bit low.  To improve your nose, the tip needs to be separated from the septum and reset back toward the face,  The bump can then be smoothed and possibly the radix augmented slightly to improve the balance.  I highly recommend you find an expert rhinoplasty surgeon who has lots of experience with septoplasty as well as rhinoplasty.  Good luck.

The rhinoplasty procedure would involve hump removal and osteotomies to close an open roof deformity. A glabellar cartilage graft may be required to build up the highest point of the bridge. A nasal spine resection along with trimming back  the caudal septum is needed as well. Please see the link below for  our rhinoplasty photo gallery

I agree that this is a classic "Tension type" nose. As my colleague has stated, the septum has to be detached from its bony support at the junction of your lip and nose (the anterior nasal spine) and modified accordingly. The spine itself should be trimmed in your case as well in order to correct the very obtuse naso-labial angle that you have. A cartilaginous dorsal graft extending to the radix (the junction of your nasal bridge and forehead) may be the easiest way to deal with the improvement of your profile once the septum is trimmed. Best of luck.