Western noses tend to have more defined contours, while Asian noses are generally flatter and less aesthetically pleasing. Many women also have hooked or humped noses, which can give a more sinister appearance. So, how can a humped nose be improved for better results?Today we'll explain the process!
Experts indicate that hump nose correction surgery generally involves making different incisions for subcutaneous dissection, followed by removing the nasal hump, narrowing the nasal bridge, and reshaping the lower nasal deformities to achieve correction.The procedure begins with local anesthesia. Small 1cm incisions are made inside each nostril. Specialized bone chisels are then used to gently remove excess nasal bone, followed by smoothing the bone surface with bone files.The procedure adjusts the nasal bridge width based on individual anatomy. The bases of both maxillary alar processes are sawed through and brought inward. Some patients may also require trimming of the alar cartilage to shorten an excessively long nasal bridge. The refined bridge achieves a straight, flowing contour with a natural appearance.Different approaches are selected based on individual conditions:
Osteotomy for hump nose correction primarily uses an intranasal incision between the alar cartilage and lateral nasal cartilage. For concurrent long nose deformity, a butterfly incision may be employed, extending its lower edge to the columellar base.Osteotomy correction for a hump nose begins by dissecting along the cartilage surface and subperiosteally beneath the nasal bone from the incision, extending upward to the nasal root and laterally to the maxillary frontal process. The protruding portion of the nasal hump is first chiseled and excised, including the nasal bone, septal cartilage, alar cartilage, and lateral cartilage. Subsequently, an oblique osteotomy is performed on the lateral aspect of the nasal bone.
Non-osteotomy hump reduction is suitable for mild cases. For mild Type I humps, the primary approach involves augmenting nasal tip height, with expanded polytetrafluoroethylene (ePTFE) reinforced materials being the implant of choice.For mild Type II hump noses, non-osteotomy correction involves thinning the central thickness of the silicone or pTFE filler material corresponding to the hump area, flattening only the ends of the nasal hump. For patients with concomitant long nose deformity, traditional long nose correction surgery can achieve results equivalent to pTFE tip augmentation.
Clinically, besides routine preoperative examinations, patients with hump noses should also check for septal deviation. Severe septal deviation requires correction before hump reduction surgery. Additionally, assess for nasal cavity or sinus infections; if present, treat and control them before proceeding.Additionally, patients should use anti-inflammatory nasal drops for three days prior to surgery and trim nasal hair to maintain nasal cavity cleanliness and reduce the risk of postoperative infection. Fasting (no food or water) is required four hours before surgery, and all medications, vitamins, and nutritional supplements should be discontinued. Alcohol consumption and smoking must cease 24 hours before surgery. The face should be thoroughly cleansed, and makeup should be avoided.