eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery
Rhinoplasty, Nasal Hump: Follow-up
Updated: Nov 18, 2008
Outcome and Prognosis
Dorsal hump resection can be a very satisfying operation for both patient and surgeon. Conservative resection of bone and cartilage can translate into a significant effect on nasal contour and character. In patients with very large humps, results may be limited by the ability of the skin–soft tissue envelope to redrape over a significant skeletal reduction. Overall, most patients are satisfied with the outcome of rhinoplasty surgery, and revision rates are low.
For excellent patient education resources, visit eMedicine's Breaks, Fractures, and Dislocations Center. Also, see eMedicine's patient education article, Broken Nose.
Future and Controversies
Although the general principles and techniques of dorsal hump reduction remain essentially the same, instrumentation has continually evolved. In recent years, powered instrumentation for the nasal dorsum has become available. Proponents of this technology note the advantages of increased precision and less soft tissue trauma. Traditional instruments such as rasps and osteotomes, particularly in experienced hands, accomplish the same end and remain the standard of care. However, powered instrumentation may have an advantage in challenging areas such as the nasofrontal angle.
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References
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Further Reading
Keywords
rhinoplasty, nasal hump rhinoplasty, dorsal hump reduction, nasal hump reduction, dorsal profile, aesthetic rhinoplasty, dorsal hump excision, dorsal hump resection, dorsal hump, dorsal nasal prominence, open roof deformity, osteotomy, lateral osteotomy, low-low osteotomy, low-high osteotomy, high-low-high osteotomy, curved osteotomy, greenstick fracture, open roof deformity, stair-step deformity, rocker deformity, saddle-nose deformity, polly beak deformity, nose job, nasal surgery, rhinoplasty, nasal hump, nasal bump, nose surgery
Follow-up: Rhinoplasty, Nasal Hump