Dorsal Hump Surgery | Rhinoplasty | What You Need to Know?

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Have you ever looked in the mirror and noticed a little bump on your nose, one that stands out and seems to change the profile of your face? You’re not alone. Many people have a small (or sometimes large) hump on their nose, known as a dorsal hump. While it's completely normal, some people feel it throws off their facial balance and seek to have it corrected. Enter dorsal hump surgery, also known as rhinoplasty—a cosmetic procedure that reshapes the nose for a smoother, more even profile.

Dorsal Hump Surgery

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But what exactly goes into dorsal hump surgery? Is it as simple as shaving down the bump, or is there more to it? Let’s dive into the details, drawing insights from Dr. Sanket Ekhande, a renowned rhinoplasty plastic surgeon based in Mumbai and Navi Mumbai.

What Is a Dorsal Hump?

Before we get into the surgery itself, let’s clarify what a dorsal hump is. The dorsal hump is essentially the bony or cartilaginous bump on the bridge of the nose. It can appear due to genetic reasons or develop after trauma or injury. For many, it becomes a point of focus because the nose is such a prominent feature, and even small changes can make a big difference in overall facial harmony.

In simple terms, the dorsal hump can make your nose appear more curved or angled from the side, and many people feel this affects the way their face looks in profile.

Why Consider Dorsal Hump Surgery?

Most people who seek dorsal hump surgery do so for aesthetic reasons—they feel the hump makes their nose look less straight or symmetric, which, in turn, impacts their facial appearance. Some may also seek this surgery due to functional issues, like breathing difficulties, but for the majority, it's about enhancing the natural contours of their face.

If you’ve ever felt that the hump on your nose distracts from the rest of your facial features or makes you self-conscious in photos, rhinoplasty might be worth considering. It’s not just about reshaping the nose; it’s about creating balance and proportion across your whole face.

How Does Dorsal Hump Surgery Work?

As Dr. Sanket Ekhande explains, dorsal hump surgery involves more than just "shaving" down the bump. In fact, there are two main components that contribute to the hump: bone and cartilage. Depending on which type of tissue is causing the hump, different surgical approaches are used.

1. Cartilaginous Dorsal Hump

If the hump is primarily made of cartilage, Dr. Ekhande prefers to use open rhinoplasty. This technique involves making small incisions in the nose (called transcolumellar and infracartilaginous incisions) to lift the skin and expose the underlying structures. Once the cartilage is accessible, Dr. Ekhande can carefully sculpt and reduce the hump, while also refining other parts of the nose—such as the tip—if needed. Cartilage is softer and more pliable than bone, so this process tends to be less invasive. The beauty of open rhinoplasty is that it gives the surgeon maximum visibility and control, ensuring precise adjustments.

2. Bony Dorsal Hump

When the hump consists mainly of bone, the process becomes a bit more complex. While open rhinoplasty can still be used, Dr. Ekhande often prefers a technique called closed preservation rhinoplasty. This approach is minimally invasive and focuses on preserving the nasal structure while reducing the bony hump from within. In this method, small internal incisions are made to access the nasal bone, where a triangular strip of bone is removed from either side of the hump. This allows for a reduction in the height of the nose, creating a smoother, more aesthetically pleasing profile—all without making large external cuts. The result? Less swelling, quicker recovery, and a more natural result.

The Importance of CT Scans Before Surgery

You might be wondering how a surgeon decides which technique to use. After all, noses come in all shapes and sizes, and so do dorsal humps. That’s where CT scans come into play. Before performing rhinoplasty, Dr. Ekhande often recommends a CT scan of the mid-face. This helps him determine whether the hump is primarily made of bone, cartilage, or a mix of both.

By understanding the structure of your nasal hump, the surgeon can tailor the procedure to your specific needs. It’s a personalized approach that ensures the best possible outcome for each patient.

Recovery and Results

One of the big concerns people have about any surgery is the recovery process. After all, no one wants to be out of commission for weeks, especially after a cosmetic procedure. The good news is that with modern rhinoplasty techniques—especially closed preservation rhinoplasty—the recovery time is relatively short.

While you may experience some swelling and bruising for a few days after the procedure, most patients are back to their regular activities within one to two weeks. Of course, results take time to fully settle, and the final shape of your nose may not be visible until several months post-surgery. But once the swelling subsides, the new, smooth profile should be noticeable—and you’ll have a more balanced, harmonious look to your face.

Is Dorsal Hump Surgery Right for You?

Deciding whether or not to undergo dorsal hump surgery is a personal choice. It’s important to think about why you want the procedure. Are you doing it because you’re unhappy with the appearance of your nose, or because it’s affecting your self-confidence? Either way, knowing your motivations is key.

Another important factor is having realistic expectations. Surgery can enhance your appearance, but it’s not about achieving perfection. Rather, it’s about improving harmony between your facial features.

Consulting a Professional

If you’re serious about dorsal hump surgery, consulting with an experienced rhinoplasty surgeon like Dr. Sanket Ekhande is essential. He will guide you through the process, help set realistic goals, and tailor the procedure to your unique needs. Not only will you get expert advice, but you’ll also have peace of mind knowing that you’re in capable hands. After all, your face is your identity, and it’s important to trust someone who understands the balance between aesthetics and function.

Final Thoughts

Dorsal hump surgery can be a life-changing procedure for those looking to smooth out the profile of their nose. Whether your hump is caused by cartilage, bone, or a combination of both, modern rhinoplasty techniques offer solutions tailored to your specific needs.

Remember, it’s not just about removing the bump—it’s about creating balance, refining your features, and giving you the confidence to love your profile. So, if you’ve been thinking about addressing that hump on your nose, why not explore your options? With a skilled surgeon like Dr. Sanket Ekhande, you’ll be well on your way to achieving a look that feels right for you.



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