The dorsal cusps consist of cartilage or bone – about two-thirds are cartilage and about one-third bone. If the lump is at the top of your nasal bridge, it is more likely to be bony. If it’s in the lower part, it’s usually cartilage. The back bones can also consist of cartilage and bone.
What Causes a Dorsal Hump?
A lesion on the bridge of the nose can sometimes result from trauma or injury. In general, it is a genetic or hereditary trait. You may have other family members who have similar bumps in the nose.
If you have had a nose trauma in the past, tell your plastic surgeon, as this may influence the choice of procedure to correct the problem.
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How Dorsal Hump surgery is performed
A Plastic surgery can alter the appearance of a dorsal lump by a procedure called reduction rhinoplasty. First, your surgeon will examine the lump and see if it is cartilage, bone, or both. The composition of the hump, its position and size may affect the surgical approach chosen.
If the dorsal hump is predominantly bone, the excess bone can be removed surgically, leaving the hump less visible and the bridge of the right nose. When made of cartilage, the surgeon cuts the excess cartilage so that the bridge of the nose forms a smooth line and reduces this magnitude.
The excess skin resulting from the removal of the lump on the new nasal bridge over the following weeks or months, depending on the amount of cartilage or bone that has been removed. In some cases, the plastic surgeon may be limited in the amount that can be removed. If you have thick skin and too much bone or cartilage has been removed, you can cover it again for a non-aesthetic result.
You may also want to limit the workload to stay true to your ethnic heritage or because you do not want to make radical changes. Discuss these issues in advance with your plastic surgeon so that the final look meets your expectations.
Open vs. Closed Rhinoplasty
If the hump is small to moderate, your plastic surgeon can perform a closed nose correction, where the dorsal hump is accessible through the nasal passages and incisions are made in the nostrils.
If the knot is larger and requires more tissue, the surgeon may opt for an open rhinoplasty. In this approach, an incision is made along the columella, the narrow strip of tissue between the nostrils. This allows for better visualization of the area. Your surgeon may also use a cartilage graft to dilate the airways and facilitate breathing.
Recovery and Results
The speed with which you recover from an operation depends in part on the surgeon’s approach. If a closed nose job has been done, the area can heal faster.
In both approaches (closed or open), swelling occurs after the procedure. The swelling, however, is less pronounced and usually disappears more quickly with the correction of the closed nose. The swelling usually lasts for several weeks and depends on the amount of tissue removed and the amount that has been repositioned.
Immediately after the operation, you will probably be constipated, congested and possibly painful, relieved by painkillers. You also have a bag in your nose. Usually, the packaging is removed on the second day, but you must be ready to stay longer.
By the end of the first week, you have probably lost your splint and the swelling and bruising are less pronounced. You will probably be ready to go back to work, even if you will have to avoid strenuous activities and exposure to the sun. These are general guidelines that may vary depending on your specific situation.
Your healing progresses over the weeks and you will get a first impression of what your new nose will look like. Your surgeon will usually give you permission to exercise after three or four weeks.
Healing continues for months as swelling disappears and the end result becomes more visible. However, it may take a year or more before the scars clear and fade.
It is difficult to give details because each person heals at his own pace. Health is a factor that influences healing – for example, the cure rate for people with diabetes is generally slower. The age and care of the surgical site can accelerate or delay healing.
Is Reduction Rhinoplasty Safe?
Each operation carries risks. These include reactions to anesthesia, the possibility that the area is infected, and the possibility of poor healing or scarring.
Visible scars are more common with open Rhinoplasty, although the scars that appear are usually light and barely visible because they are under the nose. Some people, especially those with darker complexions, may form thicker and more obvious scars.
Less frequently, nerves in the area can be damaged, causing numbness or pain. You may also experience breathing problems after surgery. Also less typical, the nasal septum – the tissue that separates the two sides of the nose – can be damaged or perforated. Sometimes, after surgery, blood or fluid accumulates under the skin and may require drainage or removal. Rarely, a nasal structure can be damaged permanently.
The risk of complications is higher with open rhinoplasty as opposed to closed rhinoplasty. Naturally, the risks are lower when you are under the supervision of an experienced surgeon.
What is the Removal Cost of a Dorsal Hump?
Whether your surgeon decides to perform open or closed rhinoplasty to repair your backbone, you should expect to pay between $ 6,000 and $ 8,000.
If you have a small nasal bump, an injection with a load above and below the bump can reduce the visibility. Note that injecting certain areas of the Nose, e.g. As the tip, a higher risk of complications. In addition, most fillers eventually dissolve and injections must be repeated. It is not a permanent solution.
Another disadvantage of nasal filler injections is the risk of lumping that can occur if the filler is injected too close to the skin and not deeper into the tissue. This can be corrected by injecting a product that dissolves the charge.
If the filler is placed too superficially, the skin around the injection may have a bluish discoloration known as the Tyndall effect. There is also a low risk of infection, numbness or allergic reaction to the strain.
How to Choose the best option
When considering a surgical procedure, it is important to ask questions and get answers. A plastic surgeon should meet with you to find out what can be done and what options are available. Together, you can create a plan that meets your needs and helps you shape the nose that best accentuates your face