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Home Blog Surgically Treating a Dorsal Hump through Filing and Osteotomy

Surgically Treating a Dorsal Hump through Filing and Osteotomy

January 14, 2014 by Dr. Andres Bustillo

Many Miami nose job patients dislike the bridge of the nose, which is the area that spans from between the eyes to just before the tip of the nose. The bridge is partially composed of the nasal bones and the septal cartilage, which often form a dorsal hump. The hump raises the height of the nose bridge and may cause the eyes to appear smaller and closer together from a frontal view and the nose to appear too large for the face when viewed from the side. There are two common ways that a dorsal hump can be treated, though when combined, they often create the greatest cosmetic results. See some of Dr. Bustillo’s patients in the Photo Gallery.

Patients who undergo rhinoplasty surgery to remove a dorsal hump can look forward to a smoother, more aesthetically pleasing nose after the surgery.
Rhinoplasty is a successful procedure to improve the appearance of a dorsal hump

Dorsal Hump Causes

The nasal structure and facial features are largely determined by the bones of the nasal bridge, as well as the septal and lateral cartilages. The hump on the dorsal area of the nose is created when these structures are out of proportion or in an abnormal position. This can be due to genetics, injury, or aging.

A bad primary rhinoplasty can lead to a crooked nose, which is characterized by an uneven dorsal hump. This can be caused by incorrect technique during the procedure, but it can also occur as a result of healing and scarring from the surgery.

When this occurs, it can cause the eyes to appear smaller and closer together from a frontal view and the nose to appear too large for the face when viewed from the side. Treatment often includes filing down of bone and/or reshaping of cartilage as part of rhinoplasty surgery to ensure that there is a proper balance between all of these components.

Benefits of Dorsal Hump Removal

The benefits of removing a nasal hump through a rhinoplasty procedure are numerous. A balanced profile is created by a facial plastic surgeon utilizing various surgical techniques to reconstruct the shape of the nose. 

A reduction in the size of the dorsal hump can also enhance airflow through the nose, allowing for easier breathing and improved sinus health. Ultimately, this procedure can bring confidence and self-esteem to those who have been struggling with undesirable features on their nose due to age, genetics, or injury.

To remove a dorsal hump you can trust an experienced rhinoplasty surgeon, like Dr. Bustillo, to provide the best results.
A surgical procedure for reducing the size of a dorsal hump improves its overall appearance

Treating a Nose Hump with Dorsal Removal Techniques

Dr. Bustillo uses rhinoplasty techniques to alter the appearance of the nose and improve facial symmetry.  The result will be an improved profile and reduced size of the hump, which can help to improve balance across all other nasal features.

Filling Rhinoplasty

The first step in this part of the procedure is performed through the use of a surgical rasp, or sanding tool. The top of the nose is sanded down to reduce the size of the hump. Think of the nose as a three-dimensional triangular shape. When the hump or one angle of the triangle is eliminated, the natural form of the nose is flattened. After the hump is brought down, the bones must be narrowed to prevent an open-roof deformity.

Osteotomy Rhinoplasty

This second part of dorsal hump reduction is the osteotomy when the nasal bones are moved into a different position to close the gap that is created when the hump is filed down. Surgical cuts are made in the bones for the doctor to ensure precision with their new placement. The bones are then moved together to recreate the three-dimensional triangle’s corner side so the nose maintains a normal anatomical shape.

Recovery from Surgery for Dorsal Hump

The recovery period for a nose job Miami involving the treatment of a dorsal hump is typically around two weeks. During this time, it is important to get plenty of rest and avoid strenuous activities. The patient will also be required to wear a nasal splint over their nose for the first week and tape afterward. Although there may be some swelling or bruising while healing, these should subside within two weeks. Normal activities can usually resume in that timeframe as well, and patients should see a pleasing profile soon after!

By undergoing a rhinoplasty procedure, such as dorsal hump removal, patients can achieve a straight profile and the desired shape of their nose.
The difference in appearance after recovery from the removal of a dorsal hump can be significant

Scarring After Dorsal Removal

Rhinoplasty patients may be concerned about the possibility of visible scars after the procedure. The two techniques are minimally invasive and do not require large incisions. As a result, scarring should not be an issue. The most visible scars that may remain after surgery are those near the base of the nose where the excess cartilage was reshaped. However, these will fade over time, becoming almost invisible in most cases.

With proper care and follow-up appointments with their plastic surgeon, patients can be confident that they will have minimal scarring after nose surgery.

What Are the Risks Associated with a Dorsal Hump Surgery?

Although surgical rhinoplasty Miami for a dorsal hump is generally successful, as with any surgery, some risks must be taken into consideration. These risks include excessive bleeding and infection, which can delay healing and may require further medical attention. In addition, some patients may experience difficulty breathing after their surgery due to swelling or other issues.

 Lastly, the possibility of nerve damage resulting in numbness or tingling in the nose cannot be ruled out. It is important to consult with a qualified plastic surgeon and discuss any questions or concerns before proceeding with surgery.

Consult with a Rhinoplasty expert!

If you are looking for a qualified and experienced rhinoplasty expert to improve your facial profile, look no further than Dr. Bustillo. He is an experienced surgeon who takes an individualized approach to every patient’s unique needs, allowing him to achieve the best results. He can help you remove or reduce the size of a nose bump, giving you the balanced and symmetrical nose shape you desire. Schedule an appointment today to learn more about how he can help you achieve your goal!

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