How Hump Reduction Rhinoplasty is Performed

"The dorsal hump is the most common reason patients come to see me for rhinoplasty. What most people don't realise is that a hump isn't just one thing — it's a combination of bone in the upper third and cartilage in the middle third, and the ratio of those two components varies significantly from patient to patient. That matters because the technique I use depends entirely on what the hump is made of. A purely cartilaginous hump can be addressed with conservative trimming. A bony hump requires an osteotome or a rasp. And in preservation rhinoplasty, I'm not removing the hump at all — I'm lowering the entire dorsal platform to bring the profile down while keeping the keystone area intact. That's a fundamentally different approach, and it produces a different kind of result."