A hump on the bridge is not uncommon, but often elicits self-conscious feelings and desire for revision. This bump on the bridge of the nose, also known as a dorsal hump, is most obvious in profile view, but it affects the appearance of the nose and face from all angles. Dorsal hump removal can help balance the nose and the rest of the face, but some removal options are better than others.

What is a Dorsal Hump?

A dorsal hump is a bump or slope starting from the bridge of the nose and ending towards the tip. It is primarily seen in the side profile of one’s face. For most people, there’s nothing unhealthy about these naturally occurring bumps on the nose, but it’s not uncommon to feel self-conscious about the way dorsal humps look. In fact, dorsal hump removal is one of the most common reasons that people seek out cosmetic rhinoplasty.

What Causes Dorsal Humps?

A dorsal hump is essentially too much bone or cartilage on the bridge of the nose. Dorsal humps are primarily genetic, and it is common to share similar dorsal hump features amongst your family. In other cases, it can result from  an injury.

Genetics

Most dorsal humps are inherited through genetics. If your parents or siblings have a large dorsal hump, you likely have one too. Dorsal hump features may not immediately show up in one’s youth but may develop over time. 

Injury

Dorsal humps can also be the result of a traumatic physical injury, such as a car accident. When bone or cartilage heals unevenly, a dorsal hump can form as a result.  

Best Option For Dorsal Hump Removal

Rhinoplasty

Rhinoplasty is one of the most common cosmetic procedures for dorsal hump removal. Otherwise known as a “nose job” or “nose reshaping”, rhinoplasty aims to enhance the proportions of your nose.

Benefits

The benefit of rhinoplasty is facial harmony. Patients who choose dorsal hump rhinoplasty will correct the hump on their nose to a straight bridge. This will balance the nose with the rest of the face and create an improved appearance.

Before and Afters

Male Rhinoplasty BeforeMale Rhinoplasty After

Female Rhinoplasty BeforeFemale Rhinoplasty After

Cost

The average dorsal hump removal cost is $4,500, but it can vary widely according to your provider’s level of experience, the cost of living in your area, and what is involved in your specific case.

Procedure

There are many approaches to dorsal hump removal. The method in which your surgeon corrects your nose is based on whether the hump consists mostly of bone, cartilage, or both. However, most dorsal hump rhinoplasty procedures involve removing this bone or cartilage to provide a straight bridge of the nose.

Open vs. Closed Rhinoplasty

The most common type of rhinoplasty for dorsal hump removal is an open rhinoplasty. Another method to remove a dorsal hump is to proceed with a closed rhinoplasty. Both open vs. closed rhinoplasty bring with them their own pros and cons, as well as differences in recovery time. 

Your surgeon will advise you on which method is the best for you, factoring in your own specific needs and specifications. If the hump is primarily bony and lies in the upper third of the patient’s nasal structure, a closed technique is preferred. If the hump resembles a curve and runs the vertical length of the nose, an open approach is preferred as it allows the surgeon to add shape and definition with extra precision.

Recovery

A typical nose job recovery is about 7-10 days if there is no excessive bruising or swelling. 70% of the swelling will be resolved after the first three months, and the remainder goes down over time. The thickness of the patient’s skin can also play a factor in recovery times.

Results

Initial rhinoplasty results are noticeable about a week after surgery, with final results visible six months to a year after the procedure when all residual swelling has subsided.

Thick Skin and Dorsal Hump Removal

If overlying skin is thick, changes made to the underlying nasal bone and cartilage may not always make an obvious difference in appearance. This is because thick skin does not always shrink around the nose after surgery. Your surgeon will take measures to minimize this issue and remove the excess skin and fat tissues on the wings of the nose.

Can a Dorsal Hump Grow Back?

No, a dorsal hump cannot grow back. Once a surgeon surgically removes it, there won’t be bone or cartilage regrowth. However, after a surgical rhinoplasty, some people develop calluses in the area where the bone and cartilage were removed. This should not be confused with inadequate removal. In some cases where this causes a slight irregularity to the bridge, rhinoplasty revision surgery is possible. 

Schedule a Consultation With Elite Facial Plastic Surgery

If you’re ready to make a change, remove a dorsal hump, and improve your nose, we invite you to contact Dr. Castellano at Elite Facial Plastic Surgery to schedule your complimentary consultation today. He is double board-certified by the American Board of Otolaryngology and the American Board of Facial Plastic and Reconstructive Surgery, so when the time comes to make a decision about dorsal hump removal, you know you’ll be in good hands.

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