Rhinoplasty hump reduction, aka, nose-reshaping surgery to eliminate or reduce the fullness along the bridge, entails a set of meticulous surgical techniques to achieve proportionate and natural results, which are primarily achieved when the patient’s gender, ethnicity, and facial features are all taken into account.
Leading Beverly Hills plastic surgeon Dr. Tarick Smiley has recently posted a series of Snapchat videos involving a female patient who asked for rhinoplasty hump reduction. But to achieve a smoother, more proportionate nasal profile, he also performed a simultaneous tip refinement.
The patient, who had been involved in an accident that left her nose broken, had visible hump along her nasal bridge that looked incongruous with her feminine features.
Dr. Smiley was able to improve her nose—i.e., remove the hump and refine and slightly elevate the tip, ultimately resulting in a more feminine appearance—with the use of closed rhinoplasty technique, which basically means that all incisions are made inside the nostril; hence, the risk of visible scar is almost eliminated.
During a closed rhinoplasty technique, incisions are made within the lining of the nostril, which in turn exposes the cartilage that comprises the lower two-thirds of the nose. The upper one-third, meanwhile, is made up of bone.
In the video, Dr. Smiley is seen removing a small piece of cartilage to refine and narrow the tip. Afterward, he trimmed the offending nasal bone that was causing the excessive fullness or hump along the bridge.
Instead of the discarding the cartilage collected during surgery, the celebrity plastic surgeon reshaped it so it could be used to reinforce the tip, a technique that allows the results to persist long term and to prevent collapsed or pinched appearance.
To further create a gender-appropriate nose during rhinoplasty hump reduction with a simultaneous tip refinement, Dr. Smiley slightly raised the tip. According to studies, the ideal angle between the upper lip and nose is 105-110 degrees for women, while in men it should be 90-105 degrees.
The amount of reduction that can provide the most natural results, Dr. Smiley said, is largely determined by how much skin shrinkage is expected to occur. In general, markedly thick nasal skin does not redrape as good as thin skin.
However, thin skin is less forgiving as it shows even the tiniest contour irregularities.
Hence, patients whose skin is considered “medium thickness” enjoy certain advantage: Their skin shows the “details” and improvements without the increased risk of contour irregularities.