Thinking about having surgery to remove a dorsal hump from the bridge of your nose? Dr. Buonassisi is a Vancouver based Board Certified Facial Plastic Surgeon and one of the top rhinoplasty surgeons in Canada. He has extensive experience performing hump reduction rhinoplasty surgery for over 15 years. The team at 8 West Clinic created this video to help those considering surgery understand the keys to success with hump reduction rhinoplasty.
Getting rid of a bump (also called dorsal hump) on the bridge of the nose is one of the most common reasons that people pursue rhinoplasty. The following process helps ensure the success of each dorsal hump reduction Dr. Buonassisi performs at 8 West Cosmetic Surgery.
1. Nasal examination. Prior to surgery Dr. Buonassisi will look inside your nose in order to assess a) if a hump reduction may affect your breathing and b) whether or not the procedure can be done safely. If you are at a risk of degraded breathing, not to worry – it is very likely that he can discuss various surgical approaches to minimize your risk and select the option that would work best for you.
2. Rhinoplasty assessment. This step includes a review of your entire face – not just your nose – in order to assess the position of the radix and determine the degree to which your hump can be reduced. Most patients require subtle changes to the tip of their nose for the best results (through tip rotation or tip projection) in addition to hump reduction*; he’ll discuss this aspect of the procedure as well.
(*is important to remember, one of the most obvious giveaways that a patient has had rhinoplasty is when the hump is reduced but the tip is not rotated. This often results in an odd-looking curve called a “polly beak” that looks unnatural.)
3. Patient objectives. At this point he will discuss your rhinoplasty goals, including how much you’d like to have your hump reduced. In order to ensure you have realistic expectations around your results, Dr. Buonassisi use this opportunity to thoroughly explain any surgical limitations you may need to know before going ahead with the surgery.
4. Computer imaging. This is a critical rhinoplasty tool and is essential to show you what degrees of change are possible and what your results could look like. Using “before” photos of your face taken from different angles, Dr. Buonassisi will be able to show you on a computer screen what your nose will very closely resemble after surgery. This allows for patients to really visualize the changes they wish to make to their face.
5. Surgical plan. Dr. Buonassisi will then discuss the surgical plan going forward, including whether any grafts will be used (e.g., if you have very thin skin and require a dramatic hump reduction, spreader grafts may be required to camouflage irregularities; radix grafts may be necessary for a radix that is severely set back).
In our experience, well-informed patients are happy patients. Though hump-reduction surgery has very high rates of satisfaction, having a thorough consultation with a specialist beforehand is an absolutely essential part of the process. Consultations with Dr. Buonassisi computer imaging so you can assess to what degree to reduce the hump and if tip rotation or refinement would also improve your result. Request a rhinoplasty consultation today.