Hump Reduction

Dorsal Hump Correction/Hump Reduction

A dorsal hump or “hump” as patients commonly refer to it, is a convex shape to the bridge of the nose. The hump, by deviating from the classic straight bridge profile, draws attention to the nose. Thus, even if a nose is otherwise small (as far as length or tip size) it still seems large and out of proportion. In women, a prominent hump can be masculinizing and especially bothersome to the patient.

Throughout the years, many surgeons have shown that the bony pyramid can be reliably reduced, repositioned, or augmented through an endonasal approach. However, open rhinoplasty may allow more precise contour refining of the nasal dorsum. The incidence of profile irregularities may be reduced when procedures are performed via the open approach. The benefits of increased exposure to the dorsum, available with the open rhinoplasty approach, should be exploited whenever possible.

There is a tendency of some surgeons to treat the bony pyramid in an essentially closed fashion, even when using the open approach. A closed approach has been reliable for addressing most bony profile problems. However, when performing an open rhinoplasty, with this open approach to the nasal dorsum and because of technical differences relating to the skin positioning, the rhinoplasty surgeon may require a different (i.e., narrower) osteotome from that which was previously used for “closed” hump reduction.

An 8-mm unguarded osteotome is preferable for most bony hump reductions when using an open approach (Figs. 1 and 2). Significantly wider osteotomes may be too wide and can cause injury to the skin–soft tissue envelope when using an open approach.

When the “closed” approach is used, the skin–soft tissue envelope is redraped into anatomic position before the hump excision, and awiderosteotome can be accommodated. However, this additional width is not necessary for an open approach. The osteotome needs to be only as wide as the widest point of the hump resection, typically at the rhinion. When using an osteotome for dorsal hump excision under direct visualization, the 8-mm nonguardedosteotome provides a sharp cutting surface and precise size for this procedure. At times-when the patient has a very large hump -a wider osteotome may be preferable. This approach has been especially useful in revision patients where underresection or asymmetric resection has occurred. The direct visualization afforded by this approach allows for more precision in these difficult revision situations.

*Recovery times / Results can vary depending on individual

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Possible risks and complications

Complications are infrequent but some minor possibly including bleeding, infection and reaction of anesthesia

These complications can be reduced by following your surgeon’s instruction before and after surgery including followed up

Preparation&Consultation

  • You can start by downloading the medical form here.
  • Our team is always ready to help you prepare yourself for the procedure. It is an easy step to e-mail us your information. We will have our medical team evaluate your case with your medical form if you are a good candidate to visit us in Thailand.
  • Avoid aspirin, anti-coagulant and vitamin E before surgery at least 2 weeks.
  • To be safe for the operation, please inform us if there are any allergies or serious medical conditions. Also please inform us all medication that you are currently taking.
  • Inform us your arrival dates, we will arrange the consultation appointment for you.
  • Please contact us if you need any pick up on your arrival at the airport. We can help you reserve the hotel room and other arrangements if necessary.
  • Consultation is without charges.

Post-Operative Care

  • Cold Pack is advised to softly compress for the first few days.
  • All post-operative aftercare of a correction, if required, is provided without cost.
  • There is no restriction diet.
  • No smoking and drinking at least 5 days after the surgery.
  • The patient must sleep head high with face upward 45 to 90 degrees during the night. Extra pillows are advised.
  • Aware of your nasal hygiene. Clean your nostrils few times a day with Q-tips dripping with clean water or saline.
  • Bruising and swelling will subside within 2 weeks. 4 to 6 weeks are the duration you can go back to your routine life without being noticed of the wounds.

FAQ

Is Nasal Hump Reduction a Simple Procedure?

Obviously, any type of nasal cosmetic rhinoplasty is not a “simple”operative procedure. Even reducing a nasal hump takes significant operative skills since it is a surgical procedure of millimeters. The goal is to reshape the dorsum to make it harmonious with the face and have a smooth dorsum as it transcends into the tip without any irregularities. There is no such thing as a simple nasal reduction or a simple rhinoplasty.

The surgery time is approximately 2 hours under local anesthesia in our clinic. There is no requirement for one admission; however, the patient can choose to stay over a night with our nurse care in our clinic facility.

Will the result looks natural?

It’s definitely possible for you to have a natural look. We would recommend you meet an experienced rhinoplasty surgeon for consultation and discuss with him/her what you would like your nose to look like. Sometimes bringing photos of noses you like helps and many surgeons have computer programs that do recreations of what your nose may look like. Regardless, good communication with your surgeon is critical. He/she will be able to help you set realistic expectations on what your nose can look like based on your personal anatomy. You can expect to see the final result after 3-6 months.

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*Recovery times / Results can vary depending on individual

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