Hump reduction rhinoplasty is a nose-reshaping surgery that corrects the excessive fullness along the bridge whose upper third is made up of bone while the remaining two-thirds is composed of cartilage (firm but slightly flexible tissue).
While the surgery may seem like a straightforward procedure, the truth is that it goes beyond rasping the excess bone and trimming some cartilage.
Dr. Tarick Smiley, one of the leading Los Angeles plastic surgeons, shares the core principles of hump reduction rhinoplasty that allow him to deliver natural and permanent results.
- The deep radix must be addressed.
Occasionally, the fullness of the bridge is exacerbated by the deep radix, which is the root or origin of the nose from the forehead. Hence, some patients require this area to be filled in with soft tissue graft or cartilage to create smoother transition and balanced results.
- Break the bone.
Removing the excess cartilage does eliminate the hump, although this alone may result in open roof deformity, which is a visible gap. To prevent this surgical stigmata, a chisel-like device is used to cut the bone, allowing it to be narrowed and repositioned later on.
- Identify the most ideal amount of reduction.
Several variables determine how much reduction can provide the most natural and “stable” results; these include the nasal skin (particularly its shrinkage), facial features, gender, ethnicity, and even body frame (i.e., a bigger nose looks generally attractive in tall muscular men).
Over-aggressive reduction, especially in men, can result in unnatural appearance, disproportionately small nose (in relation to the face), and increased risk of nasal collapse and deformity.
- Closed rhinoplasty offers a unique advantage.
There are two basic methods to perform rhinoplasty: closed and open. The closed technique refers to placing all the incisions along the inner lining of the nostrils, while the open technique includes cutting the columella (wall of tissue between the nostrils) so the “roof” of the nose can be lifted, thereby giving more visibility during surgery.
While the open technique provides improved visibility, Dr. Smiley said closed rhinoplasty paves way for more predictable results.
“Because the columella and the roof of the nose remain intact during closed rhinoplasty, we see the outside appearance as we change the underlying framework step-by-step,” Dr. Smiley said in his previous Snapchat post.
- Reinforce the new nose.
Hump reduction rhinoplasty entails trimming the excess cartilage that is responsible for the “fullness.” But instead of throwing this away, in many circumstances it can be reshaped and later on used to reinforce the new contour of the nose, especially its tip, giving it a more refined appearance.