Dr. Menachof, MD, FACS has performed thousands of facial plastic surgery procedures in over 20 years of experience. He has been recognized as a Fellow by multiple academies, named one of America’s Top Facial Plastic Surgeons continually since 2003 and is featured in multiple national publications.
Many patients consult surgeons to remove or lessen the bump on the ridge of their nose – the dorsal hump. This bump can have a range of prominence and can be the result of multiple causes. No matter the origin or size, the dorsal hump can be reduced with both surgical and nonsurgical solutions.
A dorsal hump consists of a mix of bone and cartilage. When patients view their facial profile, the dorsal hump begins at the top part of their nose near the eyes, and ends before the nasal tip. The majority of patients with a dorsal hump desire a flatter, smoother nasal bridge.
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There are multiple causes of dorsal humps – genetics, impact or previous injury. The majority of dorsal humps are inherited, which is why it is important to wait until the nose is fully developed before considering a dorsal hump reduction.
Impact to the nose can cause a dorsal hump, even if no bones were broken. The upper lateral cartilage and septum can separate from the bone, and cave in, making the nasal bone appear to stick out. After a nasal trauma, if there is a pressure on the bump, it is more likely swelling than a permanent dorsal hump. After impact, be sure to ice the nose and minimize direct contact. If your nasal concerns persist, contact a certified facial plastic surgeon – they will be able to assess your bone and cartilage damage to see if it is permanent.
The goal of this procedure is to make the dorsal aesthetic lines smooth and in proportion with the rest of the patient’s nose and face.
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Small or large dorsal humps can be reduced using closed rhinoplasty techniques. Surgeons will assess the size of the hump, the patient’s desired nasal structure, the presence of cartilage and bone and the length of the patient’s nasal bones. In order to reduce a dorsal hump, it’s important to identify the cause of the hump because in some cases, nonsurgical techniques can fix the nose.
If the dorsal hump is small and the patient has a supportive bridge area, then filing down the hump may be the solution to reducing the dorsal hump. If the hump is larger and the nasal bones are shorter, upper lateral cartilages can lose support, which can be avoided with the placement of spreader grafts during surgery. If the hump is reduced and there is an opening between the nasal bones, then lateral osteotomies (fractures of the nasal bones) may be performed to restore a normal appearance of the nasal bridge.
Your surgeon will be clear with you before the procedure regarding your potential need for osteotomies. Osteotomies may sound intimidating, but they are small, controlled, curved fractures of the nasal bones. The surgeon will determine if the bones will need to be osteotomized or not during the procedure – if the nasal bones are separated during the dorsal hump reduction, delicate osteotomies may be necessary. If the nasal bones are fractured during the procedure, there may be increased bruising and swelling. Whether osteotomies are performed or not, the pain should be mild and the patient should look presentable after ten days following the surgery.
Dorsal Hump Reduction Results
After a dorsal hump removal, there may be excessive swelling where the hump was removed. This should disappear over the first three to four months following the surgery, depending on how much work was done on the dorsal hump. However, after a dorsal hump reduction, there is typically minimal bruising and swelling.
This procedure typically takes an hour and a half and ranges in pricing. Each individual has different nasal needs, but the average dorsal hump removal cost is $4, 500. Consult a facial plastic surgeon to assess your nose in person. They will provide a customized treatment to help you accomplish your desired nasal structure.
Fillers are injected into the depression above the nose hump to make the bridge more of a straight line. For this reason, if the dorsal hump is large, an injectable filler will not be the right solution.
How To Treat A Dorsal Hump
Fillers need to be repeated at frequent intervals, as they last six months to a couple of years. This dorsal hump removal without surgery takes less than 10 minutes, and requires no downtime afterwards.
Consult an experienced surgeon about your nasal needs. Make sure that you understand the dorsal hump procedure to ensure that the surgery plan will lead you towards your expected results.
A nose job failure sounds like a scary thing. But, before you determine that your rhinoplasty has failed, it’s important to know about rhinoplasty healing time and side effects.
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Rhinoplasties should only be performed after nose growth ends. A surgeon will be able to tell if a nose has finished growing. A rhinoplasty should also be performed only if the patient has the emotional maturity to handle facial surgery.
Rhinoplasty is the most common plastic surgery performed for teenagers. The procedure enhances the appearance of the nose and aligns it with the rest of the patient’s facial features. Physical appearance plays a key role in teenage confidence, but a rhinoplasty procedure should only be considered if ...A bump in the nose can detract from an otherwise attractive profile. Fixing it can make a huge difference to both your appearance and confidence.
Dorsal hump removal is one of the most common requests we get at Ocean Clinic, but patients often want to know if it’s possible to fix the bump in their nose without surgery. People can be reluctant to have rhinoplasty surgery because they think it’s a painful and complicated surgery and they don’t want to have their nose broken. Often they don’t like the idea of having a general anaesthetic either or having to spend time recovering from surgery. But what are the alternatives?
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One possibility is for the dorsal hump to be filed or shaved down. With this technique, it’s not necessary to break the bones of the nose (osteotomy), which avoids the bruising and swelling traditionally associated with rhinoplasty. It can also be carried out under local anaesthetic.
However, filing or shaving is only suitable if the bump in your nose is very small (i.e. one millimetre). If the bump in your nose is a bit larger, this method is not recommended. Here’s why: when the dorsal hump is filed down it creates gaps between the nasal bones (which run on either side of the nose) and the septum (in the middle). The more you need to file down, the larger the gaps will be. This leads to a nose that appears wide and flat. You might also be able to see and feel the sharp edges of the nasal bones - it’s referred to as an “open roof” deformity, and it’s not something you want.
Another possibility is sculpting your nose with facial filler. The filler is injected above and below the bump to smooth out the transition and make the bump less noticeable. It can be an effective technique but it does have a couple of drawbacks.
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Firstly, because you are adding volume to the nose it can make it appear bigger. If your nose is already on the larger side in proportion to your other facial features, it’s undesirable to emphasise the nose in this way. Secondly, the filler is not permanent, so you will have to have the procedure repeated every 12-18 months (depending on how quickly your body absorbs the filler). With that said, it can be a good way to “try on” a nose job before committing to surgery.
While you want to get rid of the bump in your nose, you don’t want to be left with a nose that looks flat and wide. When we carry out a nose job to fix a dorsal hump we make small cuts to the nasal bones where they meet the cheek. This allows the surgeon to reposition the bones so that they connect with the septum and close the “open roof”. The procedure is called an osteotomy.
If your nose is wider than you’d like, it can be made narrower at the same time. This is done by moving the nasal bones inwards. It may leave small gaps between the nasal bones and the cheekbones but these will heal and fill in naturally, without being noticeable.
Nose Piercing Bumps
Although it sounds like more extensive surgery, it’s all carried out within the nose, with no external cuts required. This is known as “closed rhinoplasty”. Even for small lumps and bumps, osteotomies are usually the best way to achieve a great looking result.
People are frequently worried about the pain of having their nose broken during rhinoplasty but because you are fully anaesthetised for the procedure you won’t feel a thing. And to minimise any initial discomfort when you wake up, you’ll be given pain medication via an IV line.
In recovery, you’ll be looked after by a specially
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