🎙️ Dr Dan Behind the Scalpel – Episode: Dorsal Hump Reduction
Dorsal hump reduction is one of the most recognisable components of rhinoplasty — but it’s far more complex than simply “shaving down a bump.” In this episode, Dr Dan revisits what forms a dorsal hump, explains the different surgical approaches to reducing it, and highlights the critical reconstructions required to avoid long-term deformities.
🔎 What You’ll Learn in This Episode:
- What structures form a dorsal hump and why it varies between patients.
- How dorsal hump reduction is performed surgically.
- The difference between traditional hump reduction and dorsal preservation techniques.
- When augmentation of the middle third is required, particularly in saddle deformities.
- Key structural considerations surgeons must address after hump reduction.
- Important post-operative precautions following surgery.
🗝️ Key Notes
- A dorsal hump is formed by a combination of:
- Nasal bones
- Septum
- Upper lateral cartilages
- For a more detailed anatomical breakdown, listeners are referred back to Episode 4, where dorsal humps are discussed in depth.
- Dorsal hump reduction can be performed using:
- Osteotomies to remove bone and reshape the nasal dorsum
- Dorsal preservation techniques, which maintain the natural dorsum while lowering it
- In cases of a saddle deformity, the middle third may need to be augmented rather than reduced.
- After hump removal, the mid-vault becomes disarticulated and must be reconstructed.
- Failure to reconstruct the middle vault can result in:
- Open book deformity
- Widening of the nasal dorsum
- Functional breathing problems
- Proper reconstruction helps restore both nasal width and valve function.
Post-Operative Considerations
- Patients must be mindful when wearing glasses after surgery.
- Pressure from glasses can affect healing and final shape.
- Specific post-operative guidance is discussed in this episode (see attached reference).
💡 Key Takeaway
Dorsal hump reduction is not just about removal — it’s about reconstruction. Long-term success depends on restoring mid-vault support, preserving function, and respecting nasal anatomy.
🎧 Listen & Subscribe
Find this episode and more on:
- Spotify
- Apple Podcasts
- Google Podcasts
