Nose surgery bump removal is a highly customized procedure since each patient has unique underlying features and personal tastes. To further deliver satisfying results, it must also take into account the person’s gender, ethnicity, age, and even height.
While it is possible to limit the surgery to the bump on the nasal bridge, most patients will need all or at least most of the components of their nose—i.e., tip, supratip, nostrils, columella, etc.—to be reshaped as well to achieve a more balanced, smoother appearance.
Contrary to popular belief, nose surgery bump removal is not just about eliminating the irregularity in the bridge. For instance, some patients want to maintain “subtle” bridge fullness to preserve their ethnic or distinct family feature, while others desire for a straighter profile or something that appears more concave.
Nose surgery is often described as a surgery of millimeters, thus a good patient-doctor communication is of utmost importance. As a result, a growing number of practitioners are offering 3D computer imaging technology that allows their patients to preview the likely postop results.
The upper third of the nose is composed of bone, while the remaining lower two-thirds is made of cartilage, which is a flexible connective tissue. Most people’s humps are caused by irregularities both in the bone and cartilage, although sometimes the hump is limited to the bony or cartilaginous part only.
In many cases removing or trimming the excess bone and/or cartilage is enough to eliminate the bump. However, some patients have a condition called pseudo-hump deformity, which requires a different approach.
A pseudo-hump deformity is caused by an underdeveloped or somewhat hollowed bony part in the upper portion of the bridge (radix), thus creating an “illusion” of excess fullness below its area. To address this problem, doctors use a technique called radix grafting to create a smooth profile.
Grafting is the use of tissue taken from the donor sites, such as the septum or wall separating the two nostrils, bowl of the ear, rib, etc., to improve the structure, shape, and even function of the nose, as explained by leading Beverly Hills plastic surgery expert Dr. Karan Dhir.
Even without the pseudo-hump deformity, some patients will still need grafts especially if their surgery involves large hump and/or bridge reduction. The idea is to preserve the structural integrity of the nose, leading to normal breathing functions and long-lasting results.