Hump Nose Correction Rhinoplasty with Long Nose Repair
- Dr. Chayoung Kang
- 2025년 1월 6일
- 6분 분량
This case reviews hump nose correction rhinoplasty in a patient with a prominent dorsal hump, elongated nasal structure, drooping nasal tip, wide and blunt tip, visible tip cartilage, columella deviation, nostril asymmetry, severe rhinitis symptoms, and bilateral nasal obstruction. Surgery focused on thread removal, hump reshaping, lateral osteotomy, dorsal contour refinement with a thin silicone implant, septal extension using septal and donor rib cartilage, septoplasty, inferior turbinate reduction, and closed rhinoplasty structural 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 combined with functional nasal surgery in a patient with a prominent dorsal hump, long nasal appearance, rhinitis symptoms, and severe bilateral nasal obstruction.
The patient had also undergone thread lift treatment on the nasal dorsum and tip in June 2023. Because thread material, nasal structure, and airway function were all involved, the surgical plan required both aesthetic and functional correction.
The surgery was performed using a closed rhinoplasty / endonasal approach. The goal was to reduce the dorsal hump, improve the long nose appearance, refine the wide nasal tip, remove previously inserted threads, correct septal deviation, and address nasal obstruction through functional airway surgery.
History and Symptoms
The patient presented with both contour concerns and breathing symptoms.
Previous Treatment History
The previous treatment history included:
June 2023: Thread lift on the nasal dorsum and tip
In revision planning after thread lift treatment, the location of the thread material and surrounding tissue reaction should be evaluated carefully.
Functional Symptoms
The patient also had functional symptoms, including:
Severe bilateral nasal obstruction
Persistent clear rhinorrhea related to rhinitis
Septal deviation
Inferior turbinate enlargement
Because the patient had significant nasal obstruction, functional correction was planned together with the structural rhinoplasty.
Patient Goals
The patient wanted correction of the nasal shape and improvement of nasal breathing.
Main Goals
The main goals included:
Correct the dorsal hump
Reduce the overall long nose appearance
Refine the wide and blunt nasal tip
Smooth visible cartilage at the nasal tip
Improve nostril balance
Address nasal obstruction and rhinitis-related symptoms
Because the case involved both a prominent hump and long nasal structure, the surgical plan needed to rebalance the bridge, tip, septum, and airway together.
Preoperative Analysis
Preoperative design consultation photos were reviewed from the frontal, side, oblique, and nostril views.
Frontal View
The frontal view showed a long nasal appearance with a wide nasal tip.
Visible tip cartilage and asymmetry were also noted.
Side View
The side view showed a pronounced dorsal hump, drooping nasal tip, and elongated nasal structure.
These findings suggested that hump reduction alone would not be enough. Tip support and length control were also necessary.
Nostril View
The nostril view showed severe nostril asymmetry and leftward deviation of the columella.
Lower nasal asymmetry was considered during tip support and septal extension planning.
Surgical Approach
The surgery combined functional airway correction, structural nasal correction, thread removal, hump reshaping, and long nose adjustment.
Functional Airway Correction
Septoplasty was performed to correct septal deviation.
Inferior turbinate reduction using radiofrequency was also performed to address turbinate enlargement, rhinitis-related symptoms, and nasal obstruction.
Functional correction was included because the patient had severe bilateral nasal obstruction and persistent clear rhinorrhea.
Thread Removal
Previously inserted nasal threads were removed where identified.
In cases after thread lift treatment, removal depends on the location of the material, scar tissue, and surrounding tissue condition.
Lateral Osteotomy
Lateral osteotomy was performed to improve bridge alignment and refine nasal bone width.
This step helped improve the balance of the nasal bridge after hump correction.
Hump Reshaping and Dorsal Contour Refinement
The dorsal hump was reshaped, and the contour was smoothed.
A thin silicone implant was used for dorsal contour refinement after evaluating the bridge structure and soft tissue condition.
Septal Extension with Septal and Donor Rib Cartilage
Septal extension was performed using septal cartilage and donor rib cartilage.
This helped support the nasal tip, improve tip position, and reduce the long nose appearance.
The correction was planned carefully because long nose cases may require structural support to reduce the risk of recurrent drooping or length imbalance.
Length Control and Tip Support
The nasal tip position was adjusted to reduce the elongated appearance.
Mild overcorrection was planned within a controlled range to account for postoperative tissue movement and healing response.
The goal was to improve the tip position without creating excessive rotation or an artificial appearance.
Postoperative Results
Frontal View
From the frontal view, the nasal tip appeared narrower and more defined after structural correction.
Visible irregularity at the tip cartilage area was reduced, and overall symmetry improved.
Side View
From the side view, the dorsal line appeared smoother after hump reshaping and contour refinement.
The nasal tip position improved after septal extension and tip support. The transition from radix to nasal tip appeared softer.
Nostril View
From the nostril view, columella deviation improved, and nostril symmetry appeared more balanced.
Lower nasal alignment was improved through combined septal, tip, and nostril correction.
Functional Outcome
Nasal obstruction was addressed through septoplasty and inferior turbinate reduction.
Because breathing changes depend on septal alignment, turbinate response, rhinitis condition, swelling, and healing process, functional improvement should be evaluated over time.
Structural Outcome
The hump, long nose appearance, drooping tip, nostril asymmetry, and functional airway concerns were addressed together.
Because this case involved previous thread lift treatment, rhinitis, nasal obstruction, and long nose structure, the outcome was planned within the limits of tissue condition, internal airway status, nasal bone structure, cartilage support, and healing response.
Surgeon’s Commentary
Hump nose correction should not be planned as simple hump removal alone when a long nose, drooping tip, nostril asymmetry, and nasal obstruction are also present.
In this case, the dorsal hump was combined with an elongated nasal structure and drooping tip. Therefore, bridge correction, tip support, and septal extension needed to be planned together.
Previously inserted threads were removed where identified, and the dorsal contour was refined after structural assessment.
Septal extension using septal and donor rib cartilage helped support the nasal tip and improve the long nose appearance. Mild overcorrection was planned within a controlled range to account for postoperative tissue changes.
Functional correction was also important because the patient had severe bilateral nasal obstruction, rhinitis symptoms, septal deviation, and turbinate enlargement.
This case shows that hump nose correction rhinoplasty may require combined dorsal reshaping, tip support, length control, thread removal, and airway correction when both aesthetic and functional issues are present.
FAQ
What is hump nose correction rhinoplasty?
Hump nose correction rhinoplasty is surgery planned to reduce or reshape a prominent dorsal hump. When the nose also appears long or the tip droops, additional tip support and length control may be needed.
Can hump correction be combined with long nose correction?
Yes. When a dorsal hump is combined with a long nose appearance or drooping tip, the bridge and tip should be evaluated together. Septal extension or tip support may be considered depending on the structure.
Can nasal threads be removed during rhinoplasty?
Nasal threads may be removed when they are identified during surgery. The extent of removal depends on their location, surrounding scar tissue, and tissue condition.
Why is septal extension used in long nose correction?
Septal extension can help support and reposition the nasal tip. In long nose or drooping tip cases, it may help improve tip control and reduce length imbalance.
Can nasal obstruction improve during hump nose correction?
Nasal obstruction may improve when septal deviation, turbinate enlargement, or internal airway narrowing is corrected. The degree of improvement depends on airway anatomy, rhinitis condition, and healing process.
International Consultation
For international patients, a photo-based consultation may help clarify whether hump nose correction rhinoplasty, long nose correction, thread removal, septal extension, septoplasty, or inferior turbinate reduction may be needed.
WhatsApp: https://wa.me/821057360302
LINE: [LINE Link]
Home page : www.noselab.co.kr
Instagram : noselab_global
YouTube : Noselab
Email : noselab@naver.com
댓글