How to fix dorsal hump and crooked hooked nose? (Photo)

Question

I'm a 21 year old who hates my dorsal hump. It makes my nose look broken, hooked from the side, and crooked from the front.The tip is bulbous. Since I was 11, i felt my nose was big so i started pressing down hard on the bridge (why i have a red bruise on it).it became a habit i continue till today. Did I break it MYSELF or make it look crooked on my own by applying pressure on it? What needs to be done to fix it? I cant afford surgery will insurance/ohip cover this? Will fillers help?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. I would not recommend fillers for your type of nose.  Fillers are better for smaller noses which could benefit from the addition of volume.  Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a cephalic rotation of your tip to turn
up your tip slightly and a conservative dorsal hump reduction.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

The dorsal hump is composed of both bone and cartilage which must be shaved down in order to remove it.  Osteotomies of the nasal bones are then required to close the open roof created from the hump removal, and straighten the crooked nasal bones.  The osteotomies  are performed to  re-align the nasalbones straight.  For more information and many before and after examples, please see the link and the video below.    A rhinoplasty is considered cosmetic, therefore expect to pay for the procedure yourself.

Reza Momeni, MD, FACS · Answer

Dorsal humps and crooked noses can often be helped quite a bit with rhinoplasty surgery.  Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search.

Steven Wallach, MD · Answer

A crooked nose can usually be improved, if the crooked nose is contributing to breathing issues, then sometimes this can be covered by insurance,. As far as the cosmetic appearance this would have to be paid out of pocket.

How to fix dorsal hump and crooked hooked nose? (Photo)

Answers (4)

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