Hump Nose Rhinoplasty

Hump Nose Rhinoplasty

Hump Nose Rhinoplasty


Hump Nose Rhinoplasty is a procedure where the tissue (dorsal hump) is removed from the nose. It is one of the most frequently requested surgeries at our clinic. Because the central feature of the face is the nose, a hump can significantly impair a patient’s facial aesthetics, specifically in regards to the facial profile. A Hump Nose Rhinoplasty drastically improves the profile and the front view of the face.

In this post, we will examine a typical Hump Nose Rhinoplasty case and show how the removal of a nasal hump can yield fantastic results!

Check out our other rhinoplasty procedures by type


What is a nasal or dorsal hump?

A  nose with a nasal or dorsal hump ( a.k.a hooked or Roman nose), is particularly common among certain ethnic groups. It is a bump on the bridge of the nose which can be formed from either cartilage or bone or both. A nasal hump gives the appearance of masculinity because the nose looks large.

Some people have a nasal hump on the upper bony portion of the bridge of their nose. In this case, the hump is excised by carefully removing the excess bone only. Other people may have a hump caused by excess cartilage. In this case, in order to achieve dorsal fullness, we would trim the cartilage.  Probably, the most common scenario is a hump caused by both excess bone and cartilage.

We have several different options for a hump nose rhinoplasty depending on what our patients’ goals are, the tissue type, and how much excess tissue needs to be removed. The best way to determine how much of the hump needs to be removed is through an expert face-to-face consultation with our doctor. During the consultation, the doctor will determine the severity of the hump and whether additional surgical procedures are needed if a functional problem exists such as rhinitis, sinusitis, or breathing difficulties.


Causes of nasal humps

Genetics can play a substantial factor in whether a nasal hump is present. In fact,  researchers have identified 4 distinct genes which determine the width and pointiness of the nose. People from the Mediterranean (Persian, Greek, Italian, Arab, and Jewish etc.) often have noses with a hump between the tip and forehead and a slightly drooping nose tip.

Another common cause for a dorsal hump is injury (even injury caused during birth). At the consultation, our doctor will determine whether the cause of the nasal hump is genetics or injury. This is very important because it could affect the treatment plan: In the case that genetics is the cause, the patient may want to have only a slight reduction of the hump in order to maintain their ethnic appearance.



The White Coat Diaries: Anatomy of A Surgery

The White Coat Diaries is a series of case studies that bring the most sought-after plastic surgery procedures at our clinic.  We will demystify procedures by giving an easy to understand analysis of a particular surgery/procedure and the doctor’s approach the particular surgery via a case study.


Dorsal hump reduction/removal

Dr. Lee approaches nasal hump surgery and other nose surgeries with functional and aesthetic goals in mind. He believes that the nose should look aesthetically pleasing but also work to its full capacity. Creating a harmonious face is the ultimate aesthetic goal. In a careful consultation, Dr. Lee will address if functional issues such as breathing problems or deviations of the septum exist.

We utilize two methods for dorsal hump reduction/removal surgery; septal cartilage rhinoplasty and rib cartilage rhinoplasty. Dr. Lee performs rib cartilage rhinoplasty in cases where the patient has a lower nasal bridge, or they don’t have enough septal cartilage. He performs septal cartilage rhinoplasty when the patient has a higher nose bridge and enough septal cartilage.

Rib cartilage Rhinoplasty

Rib cartilage rhinoplasty is exactly what it sounds like: Rhinoplasty utilizing rib cartilage. Other than septal cartilage, rib cartilage is the safest material for performing a rhinoplasty because it is 100% autologous tissue. It also produces a more natural, beautiful result that is long-lasting. Due to the absence of the septal cartilage, typically we use rib cartilage with Asian patients or people who need a revision rhinoplasty.

Septal Cartilage Rhinoplasty

Patients who have a higher nose bridge are good candidates as they have enough septal cartilage to be harvested. Septal cartilage is autologous tissue located inside the nose, limitations on the amount of septal cartilage a person has can be dependent on a person’s ethnicity. Asian and Black people usually have very small amounts of septal cartilage.


Dorsal hump removal before & after

Case Study – Doctor’s diagnosis

The patient below came to VIP to reduce the hump on his nose. From the photos he sent in, Dr. Lee determined that the patient had a very high nose and a droopy tip. Through the online consultation form, we knew that the patient did not have any prior surgeries and most likely had enough septal cartilage due to his ethnicity. At his face-to-face consultation, Dr. Lee recommended to the patient that he undergo a hump removal and septal cartilage rhinoplasty. Physical examination confirmed that the patient had an adequate amount of septal cartilage to be harvested.

To remove the hump, Dr. Lee did the following:

  1. Excised the nasal hump
    • The nasal hump was made of cartilage and bone. To create a smooth nose structure and reduce the appearance of the nose, Dr. Lee shaved down the cartilage bump so the nose would be straight. He filed down the bony part of the bump using a rasp. 
  2. Refined the tip
    • Because the tip of the patient’s nose was droopy, Dr. Lee used the patient’s own septal cartilage to project the tip forward. This created a beautiful nose tip that was harmonious with the rest of his face.  

Looking at the before and after pictures of the patient’s front view and profile, the nose looks perfectly suited to his face, and he got a beautiful result!


Hump Nose Rhinoplasty


Hump Nose Rhinoplasty



Hump Nose Rhinoplasty


Finding the best nasal hump removal specialist for you

As you can see, hump nose rhinoplasty is not a simple procedure because many factors can determine exactly what needs to be done. An experienced rhinoplasty specialist will be able to lead you to the best, personalized solution.

To book a hump removal surgery consultation with our nasal hump removal specialist, please contact us at

To learn about our autologous tissue research center and what makes us best-in-class, see here:

Our mission is “to assist all our patients to achieve the best results that are life changing and enhances their lives.”


 VIP Plastic Surgery Center Korea


Whatsapp / Kakao: +82 10-5059-6626



RealSelf Patient Reviews of Myung Ju Lee, MD, PhD

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