Do I have a low-radix/pseudo hump or an actual hump? (Photo)

I'd rather consider your central vault is too large the mostly the tip is oversized; I'd also say you have very broad bony pyramid. Based on that you must research a surgeon with experience in tip surgery.

Dear Summer lover,   Thanks for submitting your pictures, though, unfortunately, in the side view picture , which is the most important for responding to your question, the eye and the base of the radix are covered by the stain.   As a rule, in my practice , I base my surgical decision for Rhinoplasty on life size photograph measurement. Overall , my impression is that your nose is somewhat bigger for your beautiful and delicate facial features. So, reduction in size of the nose and possibly narrowing the alar base and curve , is most likely the optimal approach.  Another beneficial procedure for you will be a medium size Mittelman chin-jowl implant, that will improve your facial balance and harmony. It will give you more chin projection and slight lengthening of your face, which will add significantly to your beauty.   Word of caution.  Not all results are the same, especially for Rhinoplasty, because experience, skills and aesthetic eye are critical for good outcome.   So, do your due diligence and choose wisely.  Always, consult with experience board certified plastic surgeons who operate in accredited surgery center for your safety. Most important, check the before and after pictures, to make sure that they are numerous, consistent and attractive.                  Best of luck,                                        Dr Widder              

Thank you for your question and photos.  While it does appear from your photos that you have a low radix based on the textbook western standards (you also have a small dorsal hump), it is important to understand that the nose must blend in with the other facial features.  Because our other facial structures are unique, not everyone fits into neat cookie cutter molds.  You have a prominent maxilla/mandible complex.  In my experience, a lower radix often looks good/sleek with this anatomy.  The other thing to keep in mind is that there is not one specific nose that will look good on your face to every person.    I would suggest that you see a rhinoplasty expert who can take standardized photos of you and perform computer simulations so you can "try-on" various looks.  This will allow you (and him) to determine what works best based on your individual aesthetic.  All the best!

Hello and thank you for your question. This is an excellent question.  Although your radix may be slightly low, I believe a dorsal hump reduction will be most beneficial for you.  Placing radix augmentation grafts can be prone to complications and I usually recommend dorsal hump reduction in your situation.   Based on your photographs, it is possible to perform a tip narrowing and refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts can also be performed to improve the tip refinement. The most important aspect is to find a surgeon you are comfortable with. With good surgical technique, you could have an outstanding result. 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

Thank you for your question.  Based on your photo, I think you do have a small dorsal hump, and a slightly low radix.  I think you would benefit from shaving down of the hump, possibly augmenting the radix slightly, and based on the one photo, it appears you may have a slightly hanging nasal tip, so I think that may benefit in being addressed as well.  Best to speak to a board certified plastic surgeon.  All the best,

In reality you do have a small hump which is accentuated by a low radix. Therefore the ideal rhinoplasty would lower the hump slightly and add a little in the deep radix. This would be the conservative method and can be done by either closed or open approach. Looking at your photos there is some wideness of the nose at what we call the rhinion, where the nasal bones and cartilage comes together. This would also need to be addressed. The tip should not require extensive changes.

It's a little tough to say without and exam or better photos.  That being said it could be a low radix in which case a cartilage or fascia graft would work well.  Sometimes you'd do a little of both.Chase Lay, MD

 A full set of facial photographs are required to make a determination about the status of the radix and the dorsal hump. The side profile is most helpful. In any event, a rhinoplasty can address shaving down the dorsal hump and a cartilage graft can be placed in the radix if needed.

Thanks for sharing your question. I can
appreciate your concern.I do think that you have a minimal low radix. You may consider a liquid rhinoplasty with filler.

Finally, make sure that you have a
consultation with a board certified plastic surgeon.

Wishing you the best in your journey

While your radix may be slightly low, I am not  fan of radix grafts because they tend to cause problems in the long term. I would treat the slight dorsal hump to improve your shape.