Dorsal Hump Reduction

Quick overview — what is a dorsal hump?

A dorsal hump (the “bump” on the bridge of the nose) is a common cosmetic concern that can be caused by bone, cartilage, or both. Reducing a hump may improve your side profile and facial harmony — but the safest, most natural results come from planning with an experienced rhinoplasty specialist. narasimhanplasticsurgery.com+1

Options to reduce a hump — surgical and non-surgical methods

1) Preservation rhinoplasty (bone & cartilage preservation)

Preservation rhinoplasty aims to smooth or lower the dorsal hump while keeping the native relationships of bone and cartilage intact, rather than “taking the nose apart” and reconstructing it. This can deliver a more natural, predictable result and minimize unnecessary disruption to keystone anatomy. Dr. Narasimhan uses preservation principles when appropriate to create a smooth bridge while preserving structural stability. narasimhanplasticsurgery.com+1

2) Traditional open or closed hump reduction (reshaping bone & cartilage)

When preservation is not ideal, controlled removal and reshaping of the dorsal bone/cartilage via closed or open rhinoplasty techniques will be used. Dr. Narasimhan performs both approaches and tailors the method to the patient’s anatomy (for example, to refine the tip while reducing the hump or to correct deviation at the same time). Closed techniques can correct a dorsal hump and refine the tip with smaller incisions and less swelling in some patients. narasimhanplasticsurgery.com+1

3) Ultrasonic (Piezo) rhinoplasty for precision hump reduction

Dr. Narasimhan may use ultrasonic instruments to reshape nasal bones when precise, gentle bone work is needed. Ultrasonic tools allow controlled bone modifications with less trauma, which can reduce bruising and improve accuracy when lowering a hump. He evaluates each patient to determine whether the ultrasonic device is appropriate. narasimhanplasticsurgery.com

4) Non-surgical rhinoplasty (injectable camouflage)

For patients seeking a temporary, low-downtime option, non-surgical rhinoplasty (carefully placed hyaluronic-acid fillers) can smooth the appearance of a small dorsal bump by building up adjacent areas to visually straighten the profile. This is a reversible, office-based option ideal for select humps but does not remove bone or cartilage and is not appropriate for large or structural humps. Dr. Narasimhan offers precise non-surgical refinements for candidates who understand the limitations and benefits. narasimhanplasticsurgery.com

How Dr. Narasimhan decides which technique is right

• Comprehensive evaluation: Dr. Narasimhan assesses whether the hump is primarily cartilaginous, bony, or mixed; whether nasal function (breathing) is involved; and whether other features (tip, chin, facial balance) should be addressed for best proportions. narasimhanplasticsurgery.com+1
• Aesthetic balance & facial proportions: He emphasizes overall facial harmony (chin projection, cheek structure, and frontal/oblique views) rather than focusing on the lateral view alone. This avoids over-resection and creates balanced results. narasimhanplasticsurgery.com
• Preservation vs reconstruction trade-offs: When preservation rhinoplasty can safely accomplish the goal, he favors it for a natural result and stability. For complex deformities or prior surgery, reconstruction or grafting (including revision strategies) may be required. narasimhanplasticsurgery.com+1

Revision cases — correcting prior hump reduction problems

Revision rhinoplasty is often more complex when a previous hump reduction left irregularities, breathing problems, or over-resection. Dr. Narasimhan is a revision rhinoplasty specialist who treats patients from across Florida; he uses cartilage grafts (septal, ear, or rib when needed) and careful reconstruction to restore both function and smooth contours. His revision gallery documents before/after cases where dorsal shape and breathing were improved. narasimhanplasticsurgery.com+2narasimhanplasticsurgery.com+2

Gallery & real patient results

Dr. Narasimhan’s gallery includes numerous cases of dorsal hump reduction and profile refinement showing conservative, natural outcomes — useful for setting realistic expectations and reviewing his technical style. (See the rhinoplasty before & after gallery for hump reduction examples.) narasimhanplasticsurgery.com+2narasimhanplasticsurgery.com+2

Why choose Dr. Kailash Narasimhan in Tampa Bay & St. Petersburg?

• Double-board certification & dual training (Plastic Surgery + Otolaryngology/Head & Neck) gives Dr. Narasimhan deep expertise in both nasal form and function — critical when changing the dorsal profile while preserving breathing. narasimhanplasticsurgery.com+1
• Teaches advanced rhinoplasty techniques. He trains other surgeons and writes/lectures about modern rhinoplasty approaches, reflecting ongoing leadership in the field. narasimhanplasticsurgery.com
• Range of advanced techniques: preservation rhinoplasty, ultrasonic bone reshaping, closed & open approaches, non-surgical camouflage, and complex revision/grafting when needed. He selects the optimal technique to balance safety, function, and aesthetics. narasimhanplasticsurgery.com+2narasimhanplasticsurgery.com+2
• Patient-focused planning: Dr. Narasimhan uses clinical photography and digital simulations during consultations to align expectations and plan precise hump reduction tailored to your facial proportions. narasimhanplasticsurgery.com+1

Frequently asked questions (FAQ)

Q — Can a hump be removed without changing my nasal tip or overall look? A — Often yes. Conservative hump lowering (especially with preservation techniques) can smooth the bridge without unwanted tip changes, but sometimes tip support must be adjusted for balanced results. Dr. Narasimhan will explain the trade-offs during consultation. narasimhanplasticsurgery.com+1

Q — Is non-surgical rhinoplasty a permanent solution for a hump? A — No — fillers camouflage the hump by adding volume above or below it; results are temporary and reversible and best for mild, cosmetic concerns. Surgical hump reduction permanently changes the underlying bone/cartilage. narasimhanplasticsurgery.com

Q — What about breathing after hump reduction? A — Maintaining or improving nasal airflow is a priority. Dr. Narasimhan evaluates the septum, internal valves, and structural support and often combines functional corrections with hump reduction to protect breathing. narasimhanplasticsurgery.com+1

Next steps — consultation and planning (Tampa Bay & St. Petersburg)

If a dorsal hump bothers your profile, schedule a consultation with Dr. Narasimhan to review your anatomy, photographic simulations, and the full range of options — from non-surgical camouflage to preservation or ultrasonic hump reduction and, where needed, revision reconstruction. View patient photos in the rhinoplasty gallery and contact the St. Petersburg office to book a visit. narasimhanplasticsurgery.com+1

Clinic contact: Narasimhan Plastic Surgery — St. Petersburg / Tampa Bay. narasimhanplasticsurgery.com