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Subtle Hump Reduction and Functional Rhinoplasty – A Conservative Approach

noselab

[Nose Lab Clinic]


Hello, this is Dr. Cha-Young Kang, Director of Nose Lab Clinic.


Today, I’ll share a case where we achieved a natural hump reduction while treating nasal obstruction and chronic rhinitis, following the patient’s request for minimal yet effective changes.

Design Consultation: Frontal View, Left Side View, and Oblique Side View Photos

Design Consultation: Right Side View, Oblique Side View, and Nostril View Photos


1. Initial Assessment – Functional & Aesthetic Concerns


a. Structural Issues

✔ Naturally high nasal bridge

✔ Nasal hump accentuated by 2023 trauma

✔ Mildly deviated nose

✔ Drooping nasal tip


b. Functional Issues

✔ Septal deviation

✔ Chronic nasal congestion

✔ Frequent nasal discharge


c. Patient's Requests

✔ Minimal, natural change

✔ Hump reduction without an overly “done” look

✔ Nostril shape preservation

✔ Functional improvement


2. Surgical Plan


Structural Refinement

🔹 Lateral osteotomy to correct nasal deviation

🔹 Cartilage graft (donor rib cartilage) for septal extension

🔹 Mild tip refinement via cartilage repositioning


Functional Restoration

🔹 Correction of deviated septum

🔹 Turbinate reduction for improved airflow

🔹 Rhinitis treatment to alleviate excessive nasal discharge


Aesthetic Adjustments

🔹 Subtle hump reduction for a softer profile

🔹 Tip refinement without altering nostril size

🔹 Balanced, proportional nasal structure


3. Surgical Execution & Key Procedures


a. Structural Refinement

✔ The lateral osteotomy successfully corrected nasal deviation.

✔ Rib cartilage was used to support the septum, ensuring long-term stability.


b. Functional Improvement

✔ Septoplasty relieved airway obstruction.

✔ Turbinate reduction improved nasal airflow.


c. Natural Hump Reduction

✔ Instead of aggressive shaving, precise rasping was performed to subtly refine the hump while preserving a natural look.

✔ The tip was slightly elevated using cartilage suturing, without altering the nostril shape.


4. Post-Surgical Outcomes

Before (Left) / Immediately After (Right)


a. Frontal View

✔ Straighter nasal bridge

✔ More defined yet natural-looking tip

✔ Symmetrically balanced nostrils

Before (Left) / Immediately After (Right)


b. Side Profile

✔ Smoother dorsal contour

✔ Softened hump for a more elegant profile

✔ Harmonized tip projection without excessive lift

Before (Left) / Immediately After (Right)

Before (Left) / Immediately After (Right)


c. Functional Improvement

✔ Alleviated nasal congestion

✔ Reduced nasal discharge

✔ Expected long-term relief from rhinitis symptoms


5. Expert Insights – The Key to Natural Hump Reduction


🔹 Why Opt for Conservative Hump Reduction?

1️⃣ Over-aggressive hump removal can lead to a flat, unnatural profile.

2️⃣ Maintaining the natural nasal bridge height ensures a harmonious result.

3️⃣ A well-balanced approach prevents structural weakening or excessive tip projection.


🔹 The Importance of Functional Considerations

✅ Many patients undergoing hump reduction have underlying septal deviations, requiring correction for optimal breathing.

✅ A combined aesthetic & functional approach ensures both structural integrity and natural beauty.


6. Final Thoughts & Patient Advice

Immediately After Surgery: Frontal, Side, and Oblique Side View Photos











Immediately After Surgery: Nostril View Photos


🔹 When Considering Hump Reduction Surgery…

✔ A natural outcome is always better than an overdone look.

✔ Functional issues should be addressed simultaneously.

✔ An experienced surgeon can preserve your unique features while enhancing overall harmony.


🔹 At Nose Lab Clinic, We Prioritize…

✔ Subtle yet impactful changes

✔ Customized approaches for each patient’s facial structure

✔ Long-term structural stability and function


If you’re considering hump reduction or functional nasal surgery, feel free to consult us for a balanced, natural approach.


Dr. Cha-Young Kang

Director, Nose Lab Clinic

Thank you.



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