Rhinoplasty hump removal by filing down? (photos)

Is it possible to remove the hump on my nose by filing it down? Picture included! I'd like opinions please.

Doctor Answers 11

Nasal Hump Reduction

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Simple filing down is not going to work for yours and most nasal hump deformities. It is important to recognize that the nasal hump is composed of both bone and cartilage. This means that different methods must be used to satisfactorily reduce it. While the cartilage part can be cut out, the bone part must take into consideration the entire length of the nasal bones to create a lower but still well shaped nasal dorsum. This means osteotomies must be done as well.

Rhinoplasty options

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Thank you for your question. From the single photo you provided, you appear to be an excellent candidate for rhinoplasty. Removing the dorsal hump typically requires osteotomies to move the remaining bones closer together. You should definitely schedule an in person consultation with a plastic surgeon and discuss your options. Good luck!


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You would be an excellent candidate for a rhinoplasty. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Using autologous grafts (tissue and cartilage from your own body) will provide the safest and most permanent results.  Looking at computer-morphed images with your surgeon during consultation will give you a good idea of what is possible, and also give you a great chance to convey to your surgeon what you envision.

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 64 reviews


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Hello and thank you for your question. Based on your photograph, you may benefit from a cephalic rotation of your tip to turn up your tip slightly and a conservative dorsal hump reduction. 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

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 173 reviews

Rhinoplasty for dorsal hump reduction

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  A rhinoplasty procedure involves shaving down the dorsal hump which is composed of both bone and cartilage. When there is a large hump like this that is present, the cartilage must be cut with a knife or scissors and the bone can be removed with an osteotome or by rasping. Once the hump has been removed an open roof, flat top nasal deformity is created from the frontal view, therefore osteotomies  are required to be placed in the nasal bones to close the open roof created from the hump removal. For many examples of hump removal with closed rhinoplasty, please see the link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Rhinoplasty hump removal by filing down?

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Hello mr264105 -Thanks for your question. Yes, a combination of excision of cartilage and nasal bone shaping with a rasp would be necessary to lower the height of the hump. If the nose looks wider after hump reduction, nasal bone repositioning with osteotomy procedures would be necessary to fix this. I recommend that you consult with a rhinoplasty specialist in your area for more information.Good luck,Dr. Shah

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
4.8 out of 5 stars 69 reviews

Filing down a nasal hump

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Certainly the bony portion of the bump can be reduced with a rasp or file.   There is cartilage to reduce as well which is done with a scalpel.  This could probably be done closed,  ie without external incisions.

Matthew Bridges, MD
Richmond Facial Plastic Surgeon
5.0 out of 5 stars 26 reviews


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Yes, filing down the bony hump is possible to reduce it.  A large portion of the hump is made of cartilage which is best reduced under direct visualization.  An open rhinoplasty would address these details properly.  

Rhinoplasty hump

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A nasal dorsal hump often consists of both bone and cartilage.  Filing can be used on the bony portion but a scissor or a knife works best on the cartilage.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Rhinoplasty-dorsal hump removal

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Thank you for your question.  You would be an excellent candidate for a rhinoplasty.  The dorsal hump on your nose could easily be filed down.  In fact, filing the nose with a downward rasp is the method of choice for component reduction rhinoplasty.  Additionally, spreader graft technique is also beneficial for long term cosmetic results.  When looking for a plastic surgeon, make sure to look for one that is a member of The Rhinoplasty Society and is board certified in both Otolaryngology and in Plastic Surgeon so as to achieve the best results possible.  Best wishes in your endeavors!


James Fernau, MD, FACS

Board Certified ENT

Board Certified Plastic Surgery

Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.