What Is a Nasal Hump?
A “nasal hump” (sometimes referred to as a “dorsal hump”) is a visible bump or convexity on the bridge (dorsum) of the nose. While the presence of a hump is usually not a medical problem, it can have an impact on how a person feels about their appearance. Some individuals find that even a small hump changes the way their nose looks in profile or disrupts overall facial balance.
In most cases, patients consider treatment for cosmetic rather than health reasons, and rhinoplasty (nose reshaping surgery) is often the most effective option.
If you have a nasal hump, you probably have questions: Where does it come from? What causes it to form? What can be done about it? Below, Philadelphia plastic surgeon Joseph DiBello, MD, FACS, explains the basics of nasal humps and potential treatment approaches.
Identifying a Nasal Hump
The nose is a remarkably complex structure. Its shape and function are supported by several elements:
- Bone: forms the upper third of the bridge.
- Cartilage: provides structure in the mid-to-lower portion of the nose.
- Soft tissue and skin: cover and define the external contour.
A dorsal hump most often develops where the nasal bones meet the upper lateral cartilages. From the front, a hump may not be obvious; however, in profile view, it can create a pronounced convexity that patients may describe as a “hooked” or “arched” nose.
What Causes a Nasal Hump?
A dorsal hump can result from several factors:
- Genetics. In many cases, nasal humps are inherited.
- Trauma or injury. Nasal fractures, sports injuries, or accidents can shift bone or cartilage in a way that creates a bump. Even minor trauma that heals without medical attention may leave behind a small irregularity that becomes permanent.
- Medical or structural issues. A deviated septum or irregular cartilage development can sometimes contribute to an uneven nasal bridge.
Regardless of cause, it’s important to note that a dorsal hump does not usually affect health or breathing on its own. That said, if it is paired with other structural issues (like a deviated septum), both appearance and function may be affected.
How Can I Get Rid of My Nasal Hump?
For individuals seeking to reduce or eliminate a nasal hump, there are both surgical and non-surgical options. The right choice depends on the size of the hump, overall nasal structure, and patient goals.
Surgical Options (Rhinoplasty)
Rhinoplasty remains the gold standard for addressing dorsal humps. A skilled surgeon can carefully:
- Remove excess bone and/or cartilage
- Smooth the nasal bridge for a more even contour
- Reshape and support surrounding structures to create long-lasting, natural-looking results
Rhinoplasty may be performed using a closed technique (incisions inside the nostrils) or an open technique (a small incision at the base of the nose). In addition to refining the nasal bridge, the procedure can correct other concerns at the same time – such as tip refinement, nostril shape, or airway function. In many cases, Dr. DiBello can combine rhinoplasty with other procedures (e.g. a facelift or chin implant surgery) to further enhance facial contours.
Non-Surgical Options
In certain cases, injectable dermal fillers can provide temporary camouflage of a hump. When filler is strategically placed above or below the hump, the nasal bridge can appear straighter. Please be aware, however, that this technique cannot remove the hump; rather, dermal filler effects are temporary. As such, a non-surgical (or “liquid”) rhinoplasty is usually best suited for patients with mild humps or other aesthetic concerns.
What to Expect After Hump Reduction
If rhinoplasty is chosen, patients should expect:
- Initial recovery: Swelling and bruising may last for at least a few weeks.
- Return to daily life: Most patients can resume normal activities in about a week, though strenuous exercise should be avoided for several weeks.
- Refinement phase: Subtle swelling may persist for months, with final results visible after the swelling subsides.
Provided the nose is not reinjured, the outcome of rhinoplasty is typically permanent. Patients frequently find that removing or reducing a hump significantly changes their profile and improves balance between facial features.
Final Thoughts
A nasal hump is a common concern that many people inherit or develop after an injury. While it rarely presents a medical problem, it can be a source of self-consciousness. Thankfully, modern rhinoplasty techniques allow skilled surgeons to refine the nasal bridge in a way that looks natural and compliments the rest of the face.
After evaluating your unique anatomy and goals, Dr. DiBello can recommend an approach that creates harmony, enhances confidence, and provides results that last. To learn more, we welcome you to schedule a rhinoplasty consultation with Dr. DiBello.