🎙️ 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