Is the Hump on my Nose Too Large for Filing/rasping It? (photo)

Question

I'm strongly insecure about the profile of my face because of this hump I have. I'm completely fine with it face-on. Can I just get it filed down instead of having the full out surgery performed on it or is it too large to be rasped down? Also, would this procedure be cheaper compared to rhinoplasty that involves breakage of the nose's bones? Are there any risks to it? And I'm aware that more would have to be done to my nose due to the "open roof". Would that be done during the same session?

Elliot M. Heller, MD · Answer

We are all our own worst critics. From the photos, your bump on your bridge appears to be relativly average when compared to my typical rhinoplasty patient. You are a good candidate from the photos. Most humps can be safely rasped down.

Eric M. Joseph, MD · Answer

I reviewed your concerns and your photos:

	Your dorsal hump is fairly small, and you may consider consulting a reputable specialist familiar with the delicate art of using fillers in the nose. My experience with non-surgical rhinoplasty is with Silikon-1000, an off-label filler for permanent results.

	Hope this is helpful.

	Dr. Joseph

Stephen Weber MD, FACS · Answer

The bump on your bridge could either be rasped or taken down with an osteotome. There is a small chance that you will have an open roof deformity requiring lateral osteotomies. This would be performed during the same procedure. Your plastic surgeon will be able to assess the need for osteotomies during surgery. I hope this information is helpful.Stephen Weber MD, FACS

Barry L. Eppley, MD, DMD · Answer

As most of your small bump is really cartilage and only a small portion of it actual bone, your hump reduction would do nicely with cartilage shaving and bone rasping. Note that most of your hump sits low on the bridge not high.

Michael L. Schwartz, MD · Answer

it appears that you would be able to get by with only a conservative hump reduction. If an open roof did occur then you would need an osteotomy.

Is the Hump on my Nose Too Large for Filing/rasping It? (photo)

Answers (10)