Sometimes described as hooked or Roman, a nose with a pronounced bump on the bridge can distract from other facial features. For those with prominent bumps, the reduction or excision of the bump – or dorsal nasal hump – is an integral part of the Rhinoplasty procedure. According to Dr. Peter Abramson at Rhinoplasty Atlanta, “Often the development of a nasal hump is genetically influenced. A prominent nasal hump is commonly inherited as a family trait. However, trauma to the nose, such as a fracture, can also play a role in the appearance of a prominent nasal hump. In some cases an earlier childhood injury may begin to manifest itself as the nose enters a second growth spurt during adolescence.”
The upper third of the nasal bridge consists of bone and the lower two-thirds are composed of cartilage. Although a nasal hump may be limited to either the bony part or the cartilaginous area, in most cases, a nasal hump is formed from an excess of both bone and cartilage. Usually, much of the nasal hump is located in what is referred to as the cartilaginous vault, the area of the nose that includes the upper lateral cartilages and the nasal septum. Because the upper lateral cartilages and nasal septum are adjoining, an injury to one will usually affect the other.
Evaluation and Treatment
During a surgical evaluation, a thorough medical history is taken, including an examination of the airways and any obstructions. If the patient has had previous nose surgery or nasal trauma, the specific circumstances will be reviewed as part of the assessment. In the case of a known accident, photographs that show the patient’s nose prior to injury may prove to be helpful in guiding treatment.
The nasal bones will be assessed in terms of size, shape, thickness, and symmetry. The composition of the nasal hump (the proportion of bone to cartilage) will be ascertained and, additionally, an examination of the nose’s interior will be performed to determine if septal deviation or other irregularities are affecting the nasal passages. The quality and thickness of the overlying skin will also be considered to gain insight into how the overlying skin and soft tissue will wrap to the nose one the nasal hump has been reduced.
To schedule a consultation or to learn more about Rhinoplasty performed by Dr. Abramson, contact us today at 404-297-1789. Rhinoplasty Atlanta attracks patients from all over the Atlanta Metro area including Milton, Sandy Springs, Roswell, Norcross, Lawrenceville, Tucker, Johns Creek, Decatur, Marietta, Smyrna, Brookhaven, Duluth, Suwanee, Dunwoody and Conyers.