Nasal Dorsal Hump

A nasal dorsal hump is a convex prominence on the nasal bridge, composed of either bone (the nasal bones), cartilage (the upper lateral cartilages and septal cartilage), or a combination of both. The hump creates a dorsal convexity that disrupts the aesthetically ideal straight or slightly scooped nasal profile.

Understanding Nasal Dorsal Humps

The nasal dorsum — the midline ridge extending from the radix (the nasal root between the eyes) to the nasal tip — should ideally form a smooth, continuous line. A dorsal hump creates a visible break in this line, giving the nose a prominent or hooked appearance from the lateral view. The hump may be congenital, or it may be the result of nasal trauma that healed with excess callus formation. The composition of the hump determines the surgical technique required: bony humps are addressed with osteotomes or rasps, cartilaginous humps with precise cartilage resection, and combined humps with a graduated reduction approach.

Rhinoplasty for dorsal hump reduction is one of the most commonly performed facial aesthetic procedures. Turkish rhinoplasty surgeons are internationally recognised for their expertise, performing high-volume nasal surgery at a fraction of Western costs.

Nasal Dorsal Hump

Treatment Options for Nasal Dorsal Hump

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Aesthetic Considerations

The degree of dorsal hump that appears prominent varies with ethnic background, facial proportions, and the radix height. A hump that appears minor in isolation may appear significantly more prominent if the patient has a low radix (deep nasal root) creating the illusion of a higher dorsum. Conversely, some patients desire a straight profile that requires hump reduction combined with radix augmentation. The nasal profile is assessed in the context of the entire face: the nasofrontal angle, the nasolabial angle, and the tip projection all contribute to the overall aesthetic outcome. Computer imaging is used during consultation to help patients visualise the proposed changes.

Treatment Options at Vellum Select

Rhinoplasty with Dorsal Hump Reduction

Rhinoplasty in Turkey for dorsal hump reduction is performed using either an open (external columellar incision) or closed (endonasal) approach depending on the complexity of the nasal anatomy. The hump is reduced precisely — the cartilaginous component is trimmed, the bony component is lowered with a guarded osteotome or powered rasp, and the nasal bones are osteotomised medially and laterally to close the open roof deformity created by the hump removal. Final refinement includes tip positioning and profile adjustments to achieve a natural, balanced result. The procedure is performed under general anaesthesia with an overnight hospital stay.

To discuss your nasal dorsal hump with a Vellum Select facial aesthetics specialist, contact us to arrange a consultation.