The nasal dorsum, commonly known as the bridge of the nose, connects the tip of the nose to our face. The enlarged nasal bridge is often referred to as a dorsal hump and is almost always partly bony and partly cartilaginous.
Cartilage enters the back bone in a very specific and unique way called the cornerstone area. Because this link is very detailed. Reconstruction is also quite complicated after removing the back, so we try not to disturb this complex and beautiful anatomy, that’s why sometimes we don’t disturb it and pull the whole back down from the side, what is called the push-down technique. Basics of conservative rhinoplasty.
The shape of our nose, especially the shape of the bridge of the nose, strongly influences the features of our entire face. When there is a hump on the bridge of the nose, it can affect the aesthetics of the face, especially when viewed from the side.
Another challenge is that when a large hump is removed, the nose appears to start at a high point, giving the impression of a Greek statue. Fortunately, with piezoelectric technology, we can also lower the so-called tip or root of the nose.
Whether your back hump is due to injury or genetics, chances are you’ll be scheduled for rhinoplasty. Dr. Shahram starts by determining whether your back bones are primarily made of cartilage, bone, or both. Its composition determines the surgical technique. Dr. Shahram can remove bone and cartilage, or, if appropriate, use a push-down technique that allows you to have a straight line from top to bottom.
Dr. Shahram will ensure that the reduction of the back hump is coordinated with the other tip changes in the nose.