Why dorsal hump, long nose, and drooping tip appear together and how to correct them

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who visited our clinic seeking help for a dorsal hump, long nose, and drooping tip.

The patient had the following combined nasal concerns:

• A prominent dorsal hump making the mid-bridge appear protruded

• A long-appearing nose with a drooping tip

• Asymmetry with a slightly crooked nasal bridge

• A blunt nasal tip lacking three-dimensional definition

• Nasal obstruction caused by a deviated septum and rhinitis

• A smooth nasal bridge line through dorsal hump correction

• An appropriate nasal length that does not appear elongated

• Elevating the drooping tip to create a well-defined projection

• Correction of crooked nose appearance

• Relief of nasal obstruction

1. Nasal tip plasty using autologous rib cartilage

The nasal tip was elevated to provide three-dimensional definition, with the height and angle adjusted appropriately so the nose would not appear long.

2. Dorsal hump correction

The protruding hump was precisely contoured to form a smooth bridge line.

3. Crooked nose correction via lateral osteotomy

The deviated nasal bridge was straightened to secure a symmetrical line on the front view.

4. Lower lateral cartilage repositioning and suturing

The blunt nasal tip was trimmed and repositioned into a refined shape, and the tip contour was secured through cartilage suturing. The skin thickness was carefully adjusted to create a distinct tip definition.

5. Septoplasty for deviated septum and rhinitis surgery

The deviated septum was straightened with septoplasty, and rhinitis symptoms were relieved with turbinate surgery, achieving both functional and aesthetic improvements simultaneously.

Front view changes

• The previously crooked nose was symmetrically straightened

• The nasal tip was elevated to give a refined impression

Profile view changes

• The dorsal hump was removed, creating a clean bridge line

• The drooping tip was raised to an appropriate angle so the nose no longer appears long

• Increased tip height resulted in a well-defined profile

Overall change in impression

• The blunt tip changed into a defined, elevated shape

• Proportions in harmony with the whole face

• Relief of nasal obstruction improved functional satisfaction

When a dorsal hump, long nose, and crooked nose coexist, rather than addressing each issue separately, a comprehensive correction considering overall balance is essential.

In this type of case, autologous rib cartilage was used to build a stable support structure while adjusting the tip height and angle. The hump was precisely rasped and the deviated nasal bridge was straightened via lateral osteotomy to create natural lines on both front and profile views.

In particular, trimming and repositioning the lower lateral cartilages along with adjusting skin thickness plays a central role in refining a blunt tip. Furthermore, performing septoplasty for the deviated septum and rhinitis surgery concurrently improved not only the aesthetic appearance but also respiratory function.

Simultaneously improving function and aesthetics in rhinoplasty greatly enhances a patient's quality of life. NOSELAB systematically analyzes such complex concerns and provides customized surgical plans.

This was Dr. Peter C. Kang. Thank you.

#closedrhinoplasty #dorsalhumpcorrection #crookednosecorrection #droopingtipcorrection #autologousribrhinoplasty #deviatedseptum #nasalobstructionsurgery #lateralosteotomy