How it works
Everything begins with a consultation with a plastic and aesthetic surgeon. Your safety and your result depend a great deal on what you share honestly, so your surgeon will ask why you want surgery, what you are hoping for, your medical history, any drug allergies, the medicines you take, whether you smoke, and any operations you have had before.
During this visit, your surgeon will assess your general health, examine and measure your face, take photographs for your medical record, and then talk through the options with you, the results that are achievable, the risks you may face, and the type of anaesthesia that will be used. Depending on your case, you may need a few tests before surgery. You should stop aspirin and other medicines that can encourage bleeding about 10 days before the operation.
The surgery is usually done under local anaesthesia, meaning only the area around your nose is numbed while you stay awake. In some cases, especially when it is combined with another procedure, your surgeon may choose general anaesthesia so that you sleep through the whole operation.
For a hump alone, the surgeon often works through a "closed" approach, using an incision inside the nostril, and then files down or removes the bony bump, so there is no scar visible on the outside. When the hump comes together with a tip that droops low or is overly long, the surgeon often uses an "open" approach, with an incision across the columella (the strip of skin between the two nostrils) and part of it inside the nostril; this makes it easier to file or remove the bony hump, and at the same time to graft cartilage at the tip and columella to lift the tip higher, or to trim away excess cartilage when the tip is hooked.