Dorsal Hump Nose - Rhinoplasty nasal surgeryDorsal Hump - Rhinoplasty (Surgery of the Nose)

Reduction of dorsal hump. Continue exploring 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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The Surgery

Rhinoplasty surgery is the name for a group of operations. Each component is chosen and modified for your specific nose. Many different three-dimensional problems can be addressed by such sculpting. Some inherit their nasal shape, while others get theirs from trauma and injury. Many patients also need breathing obstruction issues addressed. Not all patients are aware of their nasal obstruction. During his consultation with you Dr. Bermant tries to learn what your concerns are and help you learn what surgery realistically has to offer.

Nasal Dorsum and Humps
The dorsum (the region between the tip and forehead) comes in all sizes and shapes. Beauty is in the eye of the beholder. A hump can be part of the bone, cartilage, or both supporting elements. The shape can be inherited or as the result of trauma. Some do not like the height of their noses and want something that does not stick out as far.

 

Bermant Plastic Cosmetic Aesthetic Surgery Rhinoplasty Nasal Surgery Bermant Plastic Cosmetic Aesthetic Surgery Rhinoplasty Nasal Surgery

A dorsal hump can be reduced from inside the nose as in an open rhinoplasty or from the open rhinoplasty exposure. Bone can be sculpted (with files, electric burrs, or razor sharp chisels) removing excess on the top. Cartilage can be also modified with small scalpels (knives) or scissors.

Bermant Plastic Cosmetic Aesthetic Surgery Rhinoplasty Nasal Surgery Bermant Plastic Cosmetic Aesthetic Surgery Rhinoplasty Nasal Surgery

These supporting elements are like tent poles supporting the nasal skin (the tent). The skin redrapes to the new shape. If we remove enough dorsal structure, there will be a flat top. To restore a more satisfactory shape, the nasal bones are fractured near their juncture with the cheek bones. Controlling the line of fractures is done with a sharp chisel introduced from inside the nose or through a tiny incision in the skin outside the nose.

 

Bermant Plastic Cosmetic Aesthetic Surgery Rhinoplasty Nasal Surgery Bermant Plastic Cosmetic Aesthetic Surgery Rhinoplasty Nasal Surgery

Here is the underlying nasal hump anatomy. This deformity had both bone and cartilage components. After removing the hump from an open rhinoplasty exposure, there was enough of a flat spot that the nasal bones had to be moved together. This nose also needed reduction at the radix, internal septal work, shorting, and tip revision. See more surgical details below in the link section. View other pictures of this patient before and after surgery.

Bermant plastic and cosmetic surgery rhinoplasty septoplasty nose nasalBermant Plastic and Cosmetic Surgeon Rhinoplasty nasal nose surgery septoplasty

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

Nasal Obstruction Septoplasty and Other Nose Discussion Groups, Forum, and Chat

rhinoplasty before nose job before before rhinoplasty nose rhinoplasty before septorhinoplasty before rhinoplasty before before rhinoplasty and septoplasty before septorhinoplasty
rhinoplasty after nose job after after rhinoplasty nose rhinoplasty after septorhinoplasty after rhinoplasty after after rhinoplasty and septoplasty after septoplasty - rhinoplasty
nose job before rhinoplasty before rhinoplasty female before before rhinoplasty rhinoplasty before before rhinoplasty before rhinoplasty
nose job after rhinoplasty after rhinoplasty female after after rhinoplasty rhinoplasty after after rhinoplasty after rhinoplasty

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This page last updated on: April 21, 2012

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