Hump Nose Correction Rhinoplasty with Drooping Tip Repair
- Dr. Chayoung Kang
- 2025년 6월 3일
- 6분 분량
This case reviews hump nose correction rhinoplasty in a patient with a prominent dorsal hump, deviated nasal bridge, drooping nasal tip, dynamic “arrow nose” appearance when smiling, bulbous nasal tip, elongated nose appearance, chronic rhinitis symptoms, and worsening nasal congestion. Surgery focused on rib cartilage nasal tip support, hump reduction, osteotomy, drooping tip correction, dynamic tip stabilization, septoplasty, inferior turbinate reduction, and functional airway correction.
Author: Dr. Cha-Young Kang
Clinic: NoseLab Clinic
Published: 2025
Last Updated: 2026
Introduction
Hello, this is Dr. Cha-Young Kang of NoseLab Clinic.
This case involves hump nose correction rhinoplasty in a patient with a dorsal hump, deviated nasal bridge, drooping nasal tip, and dynamic arrow nose appearance when smiling.
The patient also had chronic rhinitis symptoms and worsening nasal congestion, especially on the right side. Because both shape and breathing function were involved, the surgical plan included structural correction and functional airway correction.
The surgery was performed using a closed rhinoplasty / endonasal approach. The goal was to reduce the dorsal hump, correct nasal deviation, support the drooping nasal tip, reduce dynamic tip descent during smiling, and improve nasal airflow.
Initial Findings
Preoperative design consultation photos were reviewed from the frontal, side, oblique, and nostril views.
Functional Issues
The functional concerns included:
Chronic rhinitis symptoms
Worsening nasal congestion
More severe obstruction on the right side
Need for septal and turbinate evaluation
Because nasal congestion had been worsening, functional correction was included in the surgical plan rather than focusing only on external nasal shape.
Aesthetic and Structural Concerns
The main aesthetic and structural concerns included:
Prominent dorsal hump
Deviated nasal bridge
Drooping nasal tip
Arrow nose effect when smiling
Bulbous and heavy nasal tip
Elongated nose appearance
Imbalance between nasal length and tip position
These findings showed that the case required dorsal correction, nasal bone alignment, tip support, and functional correction together.
View-by-View Preoperative Assessment
Frontal View
The frontal view showed nasal bridge deviation and a relatively heavy lower nasal appearance. The tip appeared broad and less defined.
Side View
The side view showed a prominent dorsal hump, drooping nasal tip, and elongated nasal appearance. The relationship between the nasal bridge, tip, and upper lip appeared imbalanced.
Dynamic Expression
When smiling, the nasal tip moved downward and created a stronger arrow nose appearance. This suggested that dynamic movement needed to be considered in addition to static nasal shape.
Nostril View
The nostril view was used to assess lower nasal balance, tip support, and nasal base symmetry before planning tip reconstruction.
Patient Goals
The patient wanted correction of both the dorsal hump and the drooping nasal tip while maintaining a balanced nasal shape.
Main Goals
The main goals included:
Correct the dorsal hump
Improve nasal bridge deviation
Lift and support the drooping nasal tip
Reduce arrow nose appearance when smiling
Create a slimmer nasal tip contour
Reduce the impression of excessive nasal length
Improve nasal congestion and rhinitis-related symptoms
Maintain a balanced nasal profile
Because the nasal tip changed with facial expression, the surgical plan needed to include dynamic tip stabilization rather than simple static tip reshaping.
Surgical Approach for Hump Nose Correction Rhinoplasty
The surgery combined dorsal hump correction, nasal bone realignment, rib cartilage tip support, tip refinement, and functional airway correction.
Rib Cartilage Tip Support
Autologous rib cartilage was used for nasal tip support because the septal cartilage was underdeveloped.
Rib cartilage provided structural support for lifting and stabilizing the drooping nasal tip.
Dorsal Hump Correction
The dorsal hump was corrected to soften the nasal bridge contour.
This step was planned together with nasal tip support to avoid imbalance between the bridge and the tip.
Osteotomy for Deviated Nasal Bones
Osteotomies were performed to realign the deviated nasal bones and improve the nasal axis.
Because the nasal bridge was deviated, bone-level correction was necessary in addition to tip correction.
Drooping Tip Correction
The drooping nasal tip was lifted and supported with structural grafting.
This helped improve the elongated nose appearance and create better balance between nasal length and tip position.
Dynamic Arrow Nose Correction
The dynamic arrow nose appearance during smiling was addressed by improving nasal tip support and reducing exaggerated downward movement.
This step was important because the patient’s nasal tip drooped more noticeably during facial expression.
Bulbous Tip Refinement
The bulbous nasal tip was refined to create a slimmer tip contour.
The correction was planned conservatively to improve tip shape without creating an overly sharp or artificial appearance.
Septoplasty and Inferior Turbinate Reduction
Septoplasty and submucosal reduction of the inferior turbinates using radiofrequency were performed to address nasal obstruction and rhinitis-related symptoms.
These functional procedures were included because the patient had chronic congestion, especially on the right side.
Postoperative Results
Functional Outcome
Nasal airflow improved after septoplasty, inferior turbinate reduction, and structural airway correction.
Rhinitis-related congestion also improved after internal nasal correction.
Frontal View
From the frontal view, nasal alignment improved, and the nasal tip appeared slimmer after tip refinement and structural support.
The overall nasal shape appeared more balanced with the facial midline.
Profile View
From the profile view, the dorsal hump was reduced, and the nasal bridge contour appeared softer.
The nasal tip position improved after rib cartilage support, and the columella-labial angle appeared more balanced.
Dynamic Movement
During smiling, the nasal tip showed less downward movement after structural support and dynamic tip correction.
The nasal tip maintained better position during facial expression compared with the preoperative condition.
Structural Outcome
The nasal bridge, nasal bones, nasal tip, and airway were corrected together. This allowed the surgery to address both the visible hump and the dynamic drooping tip.
Because this case involved both static and dynamic nasal concerns, the outcome was planned within the limits of the patient’s cartilage support, muscle movement, tissue condition, and healing process.
Surgeon’s Commentary
This case involved a prominent dorsal hump, nasal deviation, drooping nasal tip, bulbous tip, elongated nose appearance, and dynamic arrow nose effect when smiling.
The arrow nose effect can be related to structural laxity, tip support weakness, and muscular movement during facial expression. In these cases, simple hump reduction alone is not enough.
The key step was nasal tip reconstruction using autologous rib cartilage because the septal cartilage was underdeveloped. Rib cartilage was used to support the tip and reduce excessive downward movement during smiling.
Osteotomy and hump reduction were performed to correct the deviated nasal bones and reduce the dorsal hump. These steps helped improve the nasal bridge line and midline alignment.
Functional correction was also important because the patient had chronic rhinitis symptoms and worsening nasal congestion. Septoplasty and inferior turbinate reduction were performed to improve the internal nasal airway.
This case shows that hump nose correction rhinoplasty with drooping tip repair should be planned as a combined dorsal, tip, dynamic, and functional correction procedure.
FAQ
What is hump nose correction rhinoplasty?
Hump nose correction rhinoplasty is surgery planned to reduce or reshape a prominent dorsal hump. In some cases, it must be combined with nasal bone correction, tip support, and functional airway correction.
Why can the nasal tip droop when smiling?
The nasal tip may droop when smiling due to weak tip support, structural laxity, scar tissue, or muscular pull during facial expression. This is sometimes described as an arrow nose appearance.
Can hump correction and drooping tip correction be done together?
Yes. When a dorsal hump and drooping nasal tip occur together, both the bridge and the tip should be evaluated. Correcting only the hump may not improve the overall nasal balance.
Why is rib cartilage used for drooping tip correction?
Rib cartilage may be used when stronger support is needed for nasal tip reconstruction, especially when septal cartilage is underdeveloped or insufficient.
Can breathing improve after hump nose correction rhinoplasty?
Breathing may improve when functional problems such as septal deviation, turbinate hypertrophy, or internal narrowing are corrected during surgery. The degree of improvement depends on each patient’s anatomy and healing.
International Consultation
For international patients, a photo-based consultation may help clarify whether hump nose correction rhinoplasty, drooping tip correction, rib cartilage tip support, osteotomy, septoplasty, or turbinate reduction may be needed.
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