Dorsal Hump Reduction

Dorsal hump reduction, or nasal hump reduction, is a cosmetic procedure that smooths the bridge of the nose for a more aesthetically pleasing outline. The dorsal hump is a collection of cartilage that can alter the nose’s lateral outline and cause a distracting bump. Often performed during rhinoplasty, this surgical technique is used when a patient wishes to have a smoother transition from the bridge of the nose to the tip.

Greenberg Cosmetic Surgery and Dermatology is a premier rhinoplasty provider that understands the intricacies of rhinoplasty utilizing innovative surgical techniques. Greenberg Cosmetic Surgery & Dermatology has multiple locations staffed with experienced medical professionals trained in a multitude of cosmetic procedures and treatments. To schedule a consultation at your nearest location today, fill out this form, or call any of the following phone numbers. We look forward to hearing from you.

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About Dorsal Hump Reduction

The nasal bridge plays a significant role in the overall appearance of our face. For some individuals, a dorsal hump on the nasal bridge can cause dissatisfaction and self-consciousness about their facial aesthetics. Whether it is due to genetics or trauma, a dorsal hump can disrupt the harmony of facial features and impact one’s confidence.

Dorsal Hump Anatomy

The dorsal hump is located where the nasal bones and the bony vault connect to the cartilaginous vault (dorsal septum and upper lateral cartilages). ⁽¹⁾ It can be addressed by hump resection, either through external or internal means. ⁽²⁾ During rhinoplasty procedures, hump reduction is frequently performed when the dorsal hump creates a crooked or protruding profile. It is not usually medically necessary, but performing a reduction can give patients with this issue an entirely new outlook on their overall facial structure by improving facial symmetry.

There are two commonly performed techniques of surgical rhinoplasty: external and endonasal.

Open (External) Rhinoplasty

Sometimes to properly address certain degrees of dorsal hump formation, external rhinoplasty is performed. The open approach to the surgery is usually chosen for patients that have large humps that require tissue resection, as this method uses an incision that extends around and underneath the nostrils to give the surgeon optimal visibility.

Our surgeons dissect the hump carefully. The amount taken is determined by the patient’s nose shape, the surrounding features, and the proportions of an “ideal” nose. This often involves reconstruction of the nasal tip and grafting to create an even septum structure. Each patient has a specific treatment plan to correct dorsal humps, and Dr. Greenberg will plan out his procedure accordingly. ⁽³⁾

Closed (Endonasal) Rhinoplasty

Dorsal humps can sometimes be augmented by closed rhinoplasty procedures if there is minimal restructuring needed for other nasal structures. It is preferable for isolated dorsal humps. The incisions used during the method are inside the nostrils, easily concealed by the nasal structure after the patient has healed.

Though this method leaves less scarring, it can be difficult to acquire proper visibility of the bridge of the nose. Excess dorsal cartilage or bone fragments are dissected in both techniques, but they can be more thoroughly shaped during an open approach. Endonasal rhinoplasty also allows for quicker recovery times for patients. ⁽⁴⁾

How Can I Benefit From Dorsal Hump Reduction?

Patients who feel self-conscious about the shape of their nose can benefit greatly from rhinoplasty with dorsal hump reduction. Another key benefit of dorsal hump reduction is the improvement in facial symmetry. The removal or reduction of the prominent nasal hump can help bring the nose into better proportion with the rest of the face, creating a more harmonious and balanced appearance.

In addition to enhancing nasal aesthetics, dorsal hump reduction can also improve breathing function. Patients with a pronounced dorsal hump often experience nasal obstruction, which can affect their ability to breathe easily. By addressing the underlying nasal deformities during the procedure, our surgeons can restore proper airflow and improve nasal function, significantly improving quality of life.

Ideal Candidates

The ideal candidate for rhinoplasty with hump reduction is a patient with a noticeable, protruding dorsum that interferes with their physical confidence. This can cause deep insecurities for many, and reduction can alleviate these feelings while providing you with an improved nasal profile.

To undergo this procedure, you must be in good overall health, a non-smoker, and have realistic and achievable expectations for the outcome. Since the nose is a particularly challenging area, patients undergoing rhinoplasty must be aware of certain limitations and complications that may arise.

Personal Consultation

Our expert surgeons take great care in examining your nose and listening to your concerns during your private consultation. They learn about your medical history, aesthetic concerns about your dorsal hump, and any allergies you may have to certain medications. This appointment is a chance for you to voice any concerns and expectations for the surgery so your surgeon can properly prepare. Please be as candid as possible to receive the best outcome.

Preparation

To prepare for your rhinoplasty, the surgeons at Greenberg Cosmetic Surgery may recommend you stop consuming certain medications and herbal supplements. You should not take NSAIDs (e.g. aspirin and ibuprofen) for at least 2 weeks before your procedure, you should also refrain from using tobacco and nicotine products.

Avoid alcohol for 48 hours before your procedure. It is recommended that you pick up any prescriptions that your surgeon writes for you before the surgery date. You may also prepare an area at home that will be comfortable for recovery, and you will be required to find a trusted adult to drive you to and from our facilities for your rhinoplasty.

Dorsal Hump Reduction – Osteotomy Procedure

After the dorsal hump is reduced during rhinoplasty, an osteotomy must be performed to close what is called an “open roof deformity.” This procedure recreates the dorsal dome (bridge) by smoothing the remaining bony bridge, or at times requires additional cartilage to be added to the area.

Once an appropriate amount of dorsal cartilage or bone has been removed, your surgeon then redrapes the soft tissue back over the bridge to determine and remove any irregularities. They smooth the surface and reconstruct it with cartilage taken from somewhere else on the patient’s body if necessary. This step is important to reconstitute the entire nasal structure and add strength to your nasal bridge after dissection. He may also use spreaders to ensure your nasal canals are clear and functional after the reductions and then make any other adjustments to the nasal tip. The nose is sutured and properly wrapped. Rhinoplasty surgery usually takes 2.5 to 3 hours to complete. ⁽¹⁾

Recovery & Results

Reducing the dorsal hump can result in longer recovery periods for patients, especially if the bridge has to be reconstructed. After you are escorted home, expect to take at least one week off of work. Your surgeon will place gauze in your nostrils, and you may experience bleeding for 3 to 4 days after your procedure. Your nose will be placed in a splint immediately after surgery that is kept on for the following week.

Swelling and bruising will persist for the following 6 to 9 months. Though there will be fluid buildup inside your nose, avoid blowing it for as long as possible. The procedure weakens the bridge and it is important to be delicate with your nose while in recovery.

Your new nose structure won’t be apparent until your 3rd or 4th postoperative month, and your final results may not be visible until up to a year later. It takes a while for this area to heal, but once it does, you will have permanent, beautiful results for the rest of your life.

Corresponding Procedure – “Liquid” Nose Job

Non-Surgical Rhinoplasty

If your dorsal hump is small or less noticeable, soft tissue fillers can be used for non-surgical augmentation of the nose. When patients present with minor tissue defects can receive temporary but often effective filler injections to correct slight humps. Also called a liquid nose job, this is a viable option for patients who do not have severe dorsum projection. Though there is no downtime associated with this type of rhinoplasty, it is not permanent like surgical procedures.

Cost of Dorsal Hump Reduction on Long Island

The complete cost of your rhinoplasty with dorsal hump reduction varies between patients. It can be influenced by many factors like surgical room fees, anesthetic specifics, and the type of procedure performed. Our patient care coordinators will explain your price breakdown during your private consultation. Please fill out our contact form today, or call the office nearest you to schedule your appointment.

FAQ

References

1. Fattahi T, Sepideh Sabooree. New Concepts in Dorsal Hump Reduction. Oral and Maxillofacial Surgery Clinics of North America. 2021;33(1):31-37. doi:https://doi.org/10.1016/j.coms.2020.09.010
2. Behnam Bohluli, Nima Moharamnejad, Bayat M. Dorsal Hump Surgery and Lateral Osteotomy. Oral and Maxillofacial Surgery Clinics of North America. 2012;24(1):75-86. doi:https://doi.org/10.1016/j.coms.2011.10.005
3. Ors S, Ozkose M, Ors S. Comparison of Various Rhinoplasty Techniques and Long-Term Results. Aesthetic Plastic Surgery. 2015;39(4):465-473. doi:https://doi.org/10.1007/s00266-015-0497-5
4. Barrett D, Casanueva F, Wang T. Understanding Approaches to the Dorsal Hump. Facial Plastic Surgery. 2017;33(02):125-132. doi:https://doi.org/10.1055/s-0037-1598033