| Nasal Bump Questions
Question:
I've heard that you 'shave' the bump off. Is that true?
Answer:
The nasal hump is composed of cartilage and bone. There are several methods of taking down the nasal hump; one approach is described here.
When the patient is asleep but before he or she is injected with local anesthesia, the surgeon may mark the skin of the nasal bridge as a guide in visualizing the precise amount of the hump to removed. The surgeon will have commonly predetermined the amount of reduction needed, but the markings are another helpful guide. When computer imaging has been performed, the surgeon reviews the imaging goal before surgery and may have the photos in the room as an additional guide.
An en bloc ("in one piece") resection of the nasal hump is Dr. Becker's preferred approach. In this method, the cartilage of the hump is incised with a scalpel. This creates a "joint" at the junction of the bone and cartilage, shown below.
The bone knife or "osteotome" is seated at the bone-cartilage junction as illustrated in the diagrams. [the osteotome is extremely sharp, so it cuts through the bone easily]. A gentle tap-tap technique is used to advance the osteotome through the bone in the desired path. The bone-cartilage hump is removed in one piece (en bloc).
The surgeon carefully examines the patient's nose and the bone- cartilage hump that has been removed. This careful evaluation guides the next step -- fine tuning of the profile with additional excision of small amounts of cartilage, and filing or rasping of the bone to smooth it.
Ask Dr. Becker a question or arrange an appointment for a nose
surgery consultation by calling 856-589-NOSE (6673) or emailing us
at info@therhinoplastycenter.com.
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