Is it applicable to keep dorsal hump while elavating (rotating) and defining the tip? (Photo)

It is difficult to really understand what you are asking for without a picture of you but if a patient wants to work only on the tip and not on the bony portion that is very feasible.  We call this a Tip-plasty. Often when you bring your tip into the correct rotation and projection whatever hump you had will be minimized and your nose will seem straighter.  Hence why I always figure out where I want the final tip location to be before I reduce the hump otherwise you will get a very scooped look and many patients don't like that lookGood luck

Hello 4zeek4,Thanks for your question.It is possible to keep your dorsal hump and just change the tip of your nose.If you truly have a tension tip, you will need tip support at the time of rotation surgery to keep the tip from drooping after surgery.I would recommend that you consult with a rhinoplasty specialist in your area to have a complete exam, have photos taken, and have rhinoplasty simulations to better understand how the procedure you think you want might actually look on you.Good luck,Dr. Shah

Hi there, I do think you can modify and refine your nasal tip while preserving some of the dorsal hump. What I would recommend is that you meet with your surgeon and that discuss this in person. It is probably helpful for you to do photo simulations before surgery to better communicate what you are looking for.Good luck! 

Improving the nasal tip is a frequent request of patients wanting nasal refinement.
It is possible to improve the cosmetic appearance of the tip alone without
altering the rest of the nose in some patients. Whether the optimal option in
your particular situation would be a tip rhinoplasty alone or a full
rhinoplasty would best be determined at a consultation. Either procedure can be
performed with a closed or open approach.
Following the advice from a surgeon on this or
any other website who proposes to tell you exactly what to do based on limited
2 dimensional photos without examining you, physically feeling the tissue,
assessing your desired outcome, taking a full medical history, and discussing
the pros and cons of the operative procedure would not be in your best
interest. I would suggest you find a plastic surgeon with extensive nasal
surgery experience who is certified by the American Board of Plastic Surgery
and ideally a member of the American Society for Aesthetic Plastic Surgery
(ASAPS) or
the Canadian Society for Aesthetic Plastic Surgery (CSAPS) that you trust and are comfortable
with. You should discuss your concerns with that surgeon in person.
Robert Singer, MD FACS
La Jolla,California

 Rhinoplasty is the most difficult procedure to perform correctly in the entire field of cosmetic surgery and you are asking for advice without any photos. In addition, the nose is a three-dimensional structure and it is very important that it looks proportional in all 3 dimensions. It's very important to make sure the tip cartilages, the mid bridge upper lateral cartilages, and the nasal bones all balance with themselves, and the new nose balances with the patient's facial features.  For many examples of closed rhinoplasty including tension tip and dorsal hump, please see the link and the video below

As long as you and your surgeon agree about the proposed nasal changes you can do as you please. Every rhinoplasty operation is individualized. While i've left the hump on patients in the past at their request it is not rare for some of these individuals do come back later to have the hump removed. Be careful what you wish for.

Dear 4zeek4, Yes many of my rhinoplasty patients of different ethnic descent would like to keep a partial dorsal hump while just refining their nose. A consultation with experts in the field aided with digital imaging can show you the proposed results. I have enclosed a link below of rhinoplasty results where you can see some patients with modified dorsal humps as well a a video above of a patient who requested this as well. Best regards, Michael V. Elam, M.D.