|
|
- getting rid of a hump on the nose with rhinoplasty
|
|
- getting rid of a hump on the nose with rhinoplasty
For many people removing a prominent hump on the nose is the only change that they want from a rhinoplasty. They feel that the nose looks normal from the front but is unattractive in profile.
The hump consists of both bone and cartilage. The surgeon can remove the boney part using a small chisel (osteotome) or with a file (rasp). Many surgeons feel that the rasp is a safe way to avoid too much reduction in the profile.
Most of the hump is due to cartilage and this is removed using either scissors or a knife.When the hump is small the surgeon tries to remove the cartilage from both sides as a single unit. In this way the lining of the nose is not disturbed and scar tissue is less like to narrow the inside of the nose. However in patients with a large hump the cartilage is often separated from the septum before removal. Where possible this is done without disturbing the lining of the nose. In some cases the excess lining tissue must also be reduced to prevent it from becoming heaped up and altering the profile.
The surgeon can remove the hump to improve the profile before or after the tip is modified. If the tip of the nose has good projection it is usually better to reduce the hump before changing the tip. On the other hand if the tip does not have much projection many surgeons prefer to alter the projection of the tip first, so that excessive amounts of the hump are not inadvertently removed.
>