Why a dorsal hump looks prominent and how to correct it along with the nasal tip

Hello, I am Dr. Peter C. Kang.

Today, I would like to introduce the case of a patient who visited our clinic with concerns regarding a dorsal hump and a blunt nasal tip.

• 1 session of nasal filler 3 to 4 years ago (never dissolved)

• 1 session of nasal thread lifting

• Dorsal hump correction

• Natural nasal line

• Preference for autologous rib cartilage

• Symmetry in nostril size on both sides

• Completed in a single surgery

1. Foreign body removal

The previously injected filler was carefully removed, and the unnaturally elevated area between the eyebrows was smoothed down.

2. Dorsal hump correction

The protruding dorsal hump along the nasal bridge was precisely rasped, and the bridge line was neatly reshaped through lateral osteotomies.

3. Nasal tip reconstruction (autologous rib cartilage)

Using autologous rib cartilage, the blunt nasal tip was naturally elevated, and tip support was reinforced to maintain a stable shape.

4. Correction of nasolabial angle

The angle between the nose and the upper lip viewed from the profile was improved, achieving a refined side profile.

5. Functional improvement of nasal obstruction

Through septal correction, nasal obstruction symptoms that alternated on both sides were also addressed.

Front view changes

• The dorsal hump is gone, forming a smooth bridge line

• The blunt nasal tip is naturally elevated

• Left-right nostril symmetry improved

Profile view changes

• The unnaturally high glabella area has been naturally refined

• Straight bridge line extending without a hump

• A refined profile achieved through nasolabial angle correction

Changes in nostril shape

• The nasal tip is naturally refined

• Symmetry in nostril size and shape improved

Dorsal hump correction is not simply about shaving down the protruding area; it requires considering the overall structure and balance of the nose. In particular, when filler has been previously injected, removing the foreign material first and reconstructing with autologous tissue yields more stable results over the long term.

In this type of case, autologous rib cartilage was utilized to secure structural support for the nasal tip while achieving natural height and shape. By refining the bridge line with lateral osteotomies and appropriately adjusting the nasolabial angle, we were able to deliver the natural, refined nose the patient desired.

By resolving the nasal obstruction symptoms simultaneously, we attained both aesthetic and functional improvements. This was Medical Director Dr. Peter C. Kang. Thank you.

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