Hump Removal (Dorsal Bump) Virginia
Dorsal hump reduction or nasal bump (hump) removal is perhaps the most common type of nose job. The hump or bump on the nose bridge is often made up of a combination of extra high nasal bone in the upper third of the nose as well as extra high nasal cartilage in the middle third of the nose (middle vault). There is usually also an extra high dorsal septum contributing to the nasal dorsal hump or bump. The case of the dorsal hump must be evaluated and the individual components must be addressed – often individually. Too often a plastic surgeon will take a chisel and remove either too much bone or too little middle vault cartilage or too much septum and end up with either a scooped out (ski slopped) nasal bridge profile or alternatively not take enough and end up with a different shaped or just a smaller version of the initial dorsal hump.
Another common mistake plastic surgeons make is creating a “Polly Beak” by removing too much nasal bone and not removing enough middle vault or supra tip cartilage. The facts are that even something “as simple as” “just removing a bump on the nose” can be done properly or poorly. We see patients who come in for Revision Rhinoplasty consultation who have gone elsewhere and had a plastic surgeon completely miss the mark and end up ruining “a simple hump removal.” The reality is nothing is simple when it comes to rhinoplasty ad rhinoplasty is the most complex of all plastic surgery procedures. But when an experienced and skillful rhinoplasty specialist surgeon carries out a rhinoplasty, patients usually end up with the highest chance of a successful nose job outcome.
Finally, many patients assume that trauma to their nose during childhood, such as getting hit to the nose by their 8 year old brother’s toys, cause their nose hump. In fact, the vast majority of nose humps are genetic and due to the natural growth of the external nose and septum. Situations where trauma creates a dorsal hump are when the middle vault and tip get hit so hard that they collapse and result in the appearance of a bony dorsal hump. Proper diagnosis is required because the proper correction involves addition support to the nose tip and middle vault and not simply taking down what appears to be extra nasal bone. If not diagnosed and treated properly, this type of nose job can result in a more dramatic saddle nose with lack of bridge definition.