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Filing Down the Dorsal Hump Without Osteotomy?
I have a prominent dorsal hump. From frontal view you don't notice anything but on side profile there is clearly a big bump. My dorsal hump feels really irregular and uneven in bone structure (I also broke my nose 4yrs ago).
I was wondering if I could slightly reduce the bump (while keeping my tip of my nose the same) and have no need for an osteotomy (just filling off some of the bump even though it is big)
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dorsal hump nose broken nose shape tip
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Reducing dorsal hump
The nose is a pyramidal structure. Reducing a hump makes the nose wider. That is the main reason for performing an osteotomy, or narrowing the top of the nose. Filing alone can result in a "boxer's nose", one that is flat and wide. Your plastic surgeon can guide you through what decision to make, and on how to maintain the breathing or improve it even if the dorsum of the nose is being narrowed.
Addressing a dorsal hump in rhinoplasty: Is an osteotomy required?
Removing a dorsal hump ABSOLUTELY requires osteotomy to avoid a unaesthetic and progressive deformity called 'open roof deformity.' Essentially filing down the bony pyramid of the nose removes the roof of the pyramid which would lead to a strange contour and appearance if left alone. An osteotomy allows the roof to close back to a pyramidal shape and allows an aesthetic result. Be very wary of a surgeon who promises you a dorsal reduction without an osteotomy... more
Filing Down the Dorsal Hump Without Osteotomy in nose surgery?
Small dorsal humps (sounds like yours is NOT) can be rasped a few millimeters; if more hump is taken off, you'll be left with an open roof and will need osteotomies. These are just precise cuts in the bone, but the thought of "breaking the nose" frightens patients, and they frequently ask "Are you going to break my bones?". You should consult with experienced facial plastic surgeons and trust the one you choose to do whatever necessary to achieve optima
