Can a hump nose come back after rhinoplasty?

Hello. This time, I have prepared information related to hump nose recurrence after hump nose surgery.

Today, I’d like to explain the question many people ask: can a hump nose come back after hump nose surgery?

After hump nose surgery, can the nasal bone grow back and form a hump again?

The answer is that it can, and it also may not.

The reason is that when correcting a hump nose, if the hump is not neatly removed and some remains, as the swelling goes down, what was not properly smoothed out may look like it has grown back.

Also, there is something called a callus. When shaving down a hump, there are small bone fragments, and if those collect as bone dust and form into a hump shape, hump recurrence can happen.

In addition, in many cases of a hump nose, the nasal tip is drooped. If tip surgery is not performed, the tip may remain drooped and appear like a hump.

Another point is that some people judge the hump to be small and say they want it shaved rather than having an osteotomy. If it is shaved that way, it may look as if the hump has recurred.

So, to explain with a diagram: a hump nose has a shape where the bridge rises in the middle as it slopes down from the forehead. If you divide the exact center of the hump in half, the upper part is bone and the lower part is cartilage. So usually the hump is shaved down, but if you look at a cross-section of the nose, there is the septum in the center and nasal bones on both sides. When the hump is shaved down, the septum remains and a space is created in the bone. That is why the bones are moved inward through osteotomy to restore the shape of the nose.

However, in some cases, people say their hump is small, so they want only that part smoothed down.

If the hump area is shaved down, the nose takes on a shape like this, and from the side it may look as if there is no hump. But when viewed at a slightly oblique angle,

that area can make the hump visible again. Because the bone is not shaved evenly, the hump may remain when viewed from the side, which can be mistaken for recurrence. Therefore, in the case of a very small hump, correction may be possible without osteotomy, but for a hump of moderate size, osteotomy is generally recommended for a clean nasal line.

So today I explained how surgery should be performed to prevent hump recurrence in advance. For those who are currently considering surgery because of the shape of a hump nose, I hope this post was very helpful. Thank you.

(The image above shows before-and-after photos of actual hump nose surgery at N+ Clinic.)

https://youtu.be/OlIwosZNfdM

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