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 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. 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. 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. Small or large dorsal humps can be reduced using closed rhinoplasty techniques. 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. 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. After impact, be sure to ice the nose and minimize direct contact.
After a nasal trauma, if there is a pressure on the bump, it is more likely swelling than a permanent dorsal hump. The upper lateral cartilage and septum can separate from the bone, and cave in, making the nasal bone appear to stick out. Impact to the nose can cause a dorsal hump, even if no bones were broken. 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. There are multiple causes of dorsal humps – genetics, impact or previous injury. The majority of patients with a dorsal hump desire a flatter, smoother nasal bridge. 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. What is a Dorsal Hump?Ī dorsal hump consists of a mix of bone and cartilage. No matter the origin or size, the dorsal hump can be reduced with both surgical and nonsurgical solutions. This bump can have a range of prominence and can be the result of multiple causes. Many patients consult surgeons to remove or lessen the bump on the ridge of their nose – the dorsal hump. 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.
Menachof, MD, FACS has performed thousands of facial plastic surgery procedures in over 20 years of experience. SeptemWritten by: Michael Menachof Categories: Fillers, Rhinoplasty Dr.
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