Reinserting the Hump in Primary Rhinoplasty

The Gain Is Three-Fold

Jannis Constantinidis, PhD; Georgios Fyrmpas, MSc, PhD


Plast Reconstr Surg Glob Open. 2016;4(10):e1021 

In This Article


Sixty-two patients, 41 women and 21 men, with a mean age of 29 years (range, 18–57 y) met the inclusion criteria and entered the study. All patients had a hump nose, 46 patients had a straight nose and 16 patients a deviated nose. The closed approach was used in 39 patients and the open approach in 23. Osteotomies were performed in all but 6 patients who had a narrow or normal nasal width after resection of the hump. Mean follow-up was 13 months (range, 9–16 mo). No patient reported postoperative nasal obstruction, and no hump displacements were noted. Three patients presented with postoperative irregularities visible through a thin skin. Two of them underwent corrective rasping under local anesthesia. The third patient and another patient with a residual hump were both satisfied with the result and not keen to undergo revision surgery.