black rhinoplastyRhinoplasty (Surgery of the Nose)

Exploring hump removal in rhinoplasty, nasal surgery, & sculpture of the nose by Dr. Michael Bermant, MD plastic & cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Hump Removal of the Nose Rhinoplasty Surgery

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Removal of the nasal dorsal hump (bump on the top of the nose) required lowering the deformity of both cartilage and bone. This was done through an open rhinoplasty. An incision was made through the skin of the columella (post of tissue between the nostrils. The cuts continued inside the nose. Tissue was then elevated just above the cartilages. A series of rasps (very sharp surgical files) then removed the extra bone and cartilage. Scissors and scalpels than finely trimmed the remaining extra cartilage. I sometimes also use some very sharp chisels to perform this surgical sculpture. You can see a movie of this surgical technique at the bottom of this page. Since the images are graphical, you may want to skip this demonstration.

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Bone /
cartilage hump

After Rhinoplasty
2 Weeks

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Rhinoplasty Nasal Surgery Important Information

Learn more about rhinoplasty surgery of the nose

Open Rhinoplasty - Photographic details during surgery of the Black nose (warning graphic pictures).

Open Rhinoplasty - Pictures of dorsal and tip sculpture during surgery (warning graphic photographs)

Patient Pictures before and after surgery

Rhinoplasty Experiences Discussions, Forum, and Chat

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This Movie of the removal of a dorsal hump may be too graphical for some viewers.








During nasal surgery and sculpture, extra bone and cartilage are removed with various instruments. I use very sharp special rasps (files) when appropriate. A knife or scissors will suffice for the softer nasal cartilage, but bone is much stronger. Other times I may use a high speed cutting bur with a special guard to protect the skin.

During rhinoplasty I want to only gently remove the material I decide to remove and not injure the other tissue. Several different rasps are used - the fine or coarse teeth chosen for the type of deformity to alter. This process must be very exact. Extra tissue is harder to put back when working on the nose.

Notice how rhinoplasty surgery is surgical sculpting. The nurses hand on the right stabilizes the forehead. My finger adds pressure to the tip if the file and fine guidance. Some may cringe when looking at such rhinoplasty details, but this is one of the more common methods of removing tissue during nasal surgery. Most patients are either asleep or heavily sedated during this type of surgery.

This movie demonstrates the removal of the hump of the nose during rhinoplasty. You are looking at the rasps lowering the bone and cartilage deformity. It should run without problems if your browser has the QuickTime plug in (available for both Mac and IBM). The file is 143K and should download in about 50 seconds at 28.8 modem speed. Play the movie again by clicking on the arrow at the bottom left. Drag the small slider to position to a particular frame.

Get Your QuickTime Movies and Videos Software If you do not have the QuickTime Movie plug in, get it here. If the movies do not work, check that you have the latest version of your video playing software.

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This page last updated on: April 21, 2012

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