Nose jobs are constantly in the news at the moment as an ever growing number of celebrities opt to improve their appearance through rhinoplasty surgery. The most frequent type of rhinoplasty requested is to reduce a nose hump which makes the line of the nose look uneven in profile. But whilst the operation might appear simple to the eye, in practice great skill is demanded of the surgeon in moulding the nose to the ideal shape.
A hump or bump on the nose is caused by a person’s dorsum, the bridge of the nose, being too high. When the dorsum is high compared to the remainder of the nose, the line from the bridge to the tip shows a very clear bump which can be quite displeasing to its owner particularly when viewing himself or herself in profile. It is a condition that affects a large number of both men and women, and an ever growing number are deciding to do something about it.
According to Dr Allen Rezai, a leading consultant plastic and reconstructive surgeon of Harley Street, London, and expert rhinoplasty surgeon, “There are many different types of rhinoplasty procedure, and one of the most frequently performed is that to reduce a dorsal hump, or bump, using the closed rhinoplasty technique. This is known medically as Dorsal Hump Resection or Reduction.
“The dorsal hump is comprised primarily of cartilage and bone and it can often cause the nose to look big and ugly in the eyes of the patient. Most nose humps comprise a combination of bone and cartilage, and the hump occurs where the bone of the nose stops and the cartilage begins. Reducing the hump involves removing both the bone and the cartilage. Techniques to achieve this can vary depending upon the amount of reduction required and the preferences of the surgeon, however the new shape of the patient’s nose is always determined during an in-depth consultation with the surgeon prior to surgery.”
Reshaping of the nose demands great skill and precision from the surgeon. Dr Rezai explains that “the operation is most frequently performed under a general anaesthetic and is carried out by inserting a special instrument known as an osteotome, a chisel-like device which shaves and cuts bone through small incisions made on the inside of the nose. Portions of the bone and cartilage are cut away until the nose reaches its desired shape, and frequently a process known as rasping is required to produce the final smooth contour.
“Sometimes what is known as an osteotomy may also be necessary. If what is known as an open roof remains, an open space following the removal of bone and cartilage, the surgeon might need to reposition the nasal bones to close the space. This typically involves carefully breaking the nose bones with the osteotome. The bones are then reshaped to close the open roof and produce the desired shape.
“After completion of the procedure the plastic surgeon will close up the incisions on the inside of the nose by applying soluble sutures. Finally, to stabilize the nose as it heals, special nasal splints will be placed over the nose,” explains Dr Rezai. “Overall the operation usually takes about 60 to 90 minutes and most patients remain in hospital overnight. For those not engaged in physical work, they can expect to return to work in 7 to 10 days and resume normal physical exercise in 4 to 6 weeks.”
For more information about rhinoplasty for dorsal hump removal and the options available, including before and after photos and details of other facial surgery procedures performed by Dr Rezai, reference can be made to his website at https://allenrezaimd.co.uk
He can also be contacted directly through his London clinic at the following address:
Dr Allen Rezai
40 Harley Street