Rhinoplasty for a Nasal Hump

A dorsal hump is one of the most common reasons patients ask about rhinoplasty. It is a straightforward description of an anatomical finding — excess bone and cartilage along the bridge — and the surgical answer is correspondingly specific.

What a nasal hump is

A nasal hump, or dorsal hump, is a raised area along the bridge of the nose, typically caused by excess bone or cartilage. It varies in size and shape, from a subtle prominence to a pronounced feature. Some people have a dorsal hump from adolescence as a result of the way the nose developed; others develop one after trauma or injury.

How it is corrected

Rhinoplasty for hump reduction involves reshaping the nose to reduce the prominence and produce a smoother dorsal line. The surgeon makes either internal or external incisions, depending on the approach, and removes or reshapes the underlying bone and cartilage.

Closed and open approaches

Closed rhinoplasty involves incisions inside the nostrils. Open rhinoplasty adds an incision across the columella, the strip of tissue between the nostrils. The open technique gives better access to the nasal structures and may be preferred in more complex cases.

Reducing the hump

The surgeon reduces the excess bone and cartilage forming the hump. Where the prominence is significant, osteotomy may be required — controlled cuts in the nasal bones allowing them to be repositioned. The aim is a balanced dorsal line while preserving the functional integrity of the nose.

Shaping and contouring

Once the hump is reduced, the surgeon may further contour the nose, adjusting the tip, the nostrils or the bridge so that the result is consistent with the rest of the face.

What hump reduction addresses

Proportion

A prominent hump can make the nose read as disproportionate to the other facial features. Reducing it produces a nasal profile better aligned with the rest of the face.

Breathing

In some cases a dorsal hump is accompanied by functional breathing problems, particularly where it is associated with a deviated septum. Rhinoplasty can address these by correcting deviation or obstruction within the nasal passages.

Durability

Unlike temporary measures such as dermal filler camouflage, the results of surgical hump reduction are structural. Once the excess bone and cartilage are removed they do not regrow.

Before deciding

Consultation

A clear understanding of what is achievable is essential. Consultation covers your concerns, medical history and any functional problems with the nose. The surgeon assesses the nose and recommends an approach based on your specific nasal structure. Photographs are taken and imaging may be used to discuss potential outcomes and set expectations.

Recovery and downtime

Recovery takes several weeks to months. In the first days most patients have swelling, bruising and discomfort around the nose and eyes. A splint is usually placed to protect the nose during healing. Swelling subsides progressively over the first weeks, but the final shape of the nose can take up to a year to emerge fully.

Patients are advised to avoid strenuous activity and to keep the head elevated in the early stages to minimise swelling.

After-care

Rest and avoiding strain

For several weeks after surgery, avoid activities that place strain on the nose — heavy lifting, bending forward, blowing the nose.

Managing swelling and bruising

Swelling and bruising are expected, particularly in the first few days. Cold compresses and keeping the head elevated help. Most swelling settles within the first weeks, though minor swelling can persist for several months.

Follow-up

Regular follow-up allows the healing process to be monitored. At these visits the nose is assessed for signs of infection, asymmetry or other problems.

Protecting the nose

After the splint is removed, continue to protect the nose from accidental knocks or pressure. Avoiding direct sun exposure for several months helps protect the healing skin.

How we quote

Fees depend on the complexity of the case and the operating time required, and are set out in writing after consultation.