Humpback nose

Protrusion

A humpback nose has a bulge in the middle, which can vary in size and shape.

Asymmetry

In some cases, the nose may appear asymmetrical, with one side more or less protruding.

Form

The shape of a humpback nose can vary; some people have a more pronounced hump, while others have only a slight convexity.

Genetic factors

A humpback nose is often the result of genetic factors. Many people inherit the shape of their nose from their parents or family members. If one or both parents had a humpback nose, there is a greater chance that their child will have a similar shape.

Trauma

Traumatic injuries, such as a broken nose, can cause deformities. Such injuries can occur from sports accidents, car accidents, or physical conflicts. After an injury, the nose can heal in an incorrect position, leading to a hump.

Changes during growth

During adolescence and early adulthood, the face develops, and the nose may change shape. In some cases, irregularities in bone or cartilage growth can result in a humpbacked nose.

Deformities caused by diseases

Certain medical conditions, such as rhinoscleroma (cartilaginous deformation) or tumors in the nasal area, can cause changes in the structure of the nose and lead to a hump. In such cases, treating the underlying condition can help correct the shape of the nose.

Aging

As we age, the cartilage in the nose can weaken and change shape. These changes can contribute to a humpbacked nose in older adults.

Rhinoplasty

Rhinoplasty is the most common surgical procedure used to change the shape of the nose. There are several approaches to rhinoplasty, including:

Open rhinoplasty: This method involves making a small incision at the base of the nose, which allows the surgeon better access to the nasal structures. This is useful for more complex shape changes, including correcting a humped nose.

Closed rhinoplasty: In this approach, all incisions are made inside the nasal cavities, thereby reducing the visibility of scars. This method is used for minor changes and smaller protrusions.

Rhinoplasty may involve reducing cartilage or bone to remove a bulge and achieve the desired shape.

Septoplasty

If the humped nose is associated with a deviated septum, septoplasty may be necessary. This procedure corrects the position of the septum (the cartilaginous and bony part of the nose) and can improve the functionality of the nose, while simultaneously improving aesthetics.

Osteotomy

Osteotomy is a surgical technique that involves cutting the bones of the nose to correct deformities. This method can be used together with rhinoplasty to reduce the hump and adjust the shape of the nose.

Preparation for surgery

The first step involves a consultation with a plastic surgeon. During this examination, the surgeon will discuss the patient's wishes, conduct an assessment of the nose and face, and make recommendations on possible techniques.

The patient may undergo certain tests, such as blood tests, to ensure that they are physically ready for surgery.

The surgeon will provide instructions on preparing for surgery, including stopping certain medications and avoiding smoking.

Anesthesia

The surgery is performed under general anesthesia, which means you are asleep during the procedure.

Surgical procedure

The surgeon chooses between open and closed rhinoplasty:

Open rhinoplasty: This method involves an incision at the base of the nose between the nostrils, which allows better access to the nasal structures.
Closed rhinoplasty: All incisions are made inside the nasal cavity, reducing the visibility of scars.
Hump ​​correction: The surgeon will remove or adjust the cartilage and/or bone in the middle part of the nose to correct the hump. This may include osteotomy (bone cutting) and other techniques to shape the nose.

Septal correction: If necessary, the surgeon can perform a septoplasty to correct a deviated septum.

Closing the incisions

Once all necessary changes have been made, the surgeon will carefully close the incisions using stitches or other techniques. If openings were used, these stitches are usually removed after a few days.

Postoperative care

Monitoring: After surgery, the patient will be transferred to a recovery room where medical staff will monitor them as they wake up from anesthesia.

Care instructions: The surgeon will provide specific instructions about postoperative care, including recommendations about swelling, pain, and possible complications.

The first days after surgery

Rest is essential, especially during the first few days after surgery. It is recommended to avoid physical exertion and activities that require strain.

Applying cold compresses to the nose can help reduce swelling and pain. The compresses should be applied at intervals of 15-20 minutes.

Painkiller

Your doctor may prescribe painkillers or antibiotics to help relieve pain and discomfort. It is important to take your medications as directed.

Nose care

Patients should avoid any touching or pressing on their nose for the first few weeks.

Your doctor may recommend saline sprays or other medications to keep your nasal mucosa moist, which helps you recover faster.

Swelling and bruising

Swelling around the nose and eyes can be normal after surgery and usually subsides within a few days to a week.

Sleeping with your head elevated can help reduce swelling.

Avoiding certain activities

Patients should avoid strenuous physical activity, such as exercise, lifting heavy objects, or any activity that could put pressure on the nose, for at least a few weeks.

It is also recommended to avoid saunas, hot baths, and other hot environments that can increase swelling.

Monitoring and control examinations

Regular check-ups with your doctor are important to monitor your recovery and ensure that everything is going well. Your doctor will check the condition of your nasal cavity and give you further instructions.