wasperformed FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

Removing the nasal hump

One of the first tasks during a rhinoplasty is to remove the hump if one is present.  The hump is made of bone and cartilage, and both components must be carved down in order to eliminate the nasal hump. 

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The squiggly red line on the nose above right shows the border between the bony part and the cartilaginous part of the nose.  Above the red line, the nose is made of bone (in pink), and below the line the nose and hump are made of cartilage (blue).

Click on any image in this tutorial to see a greatly-enlarged version
When the hump is taken down, perhaps along the blue line in the picture above left, the upper part of the tissue removed is bone (red), and the lower part of the removed hump is made out of cartilage (blue).

How far down should the hump be taken?  Down to a straight line?  Leave a little teeny hump there?  Make it concave, or even a bit scooped-out?  It depends on the person's age, sex, height, other features of the nose, and the patient's preferences.  In the future, we'll have a photo essay on the subject, so stay tuned.  This tutorial will discuss how to take down the hump, not how far to take it down.


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Clear all red checks in the Rhinoplasty Tutorial




All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg