Why Do I Have a Dorsal Hump? Causes & Options

A dorsal hump is a common nasal feature, often observed on the bridge of the nose. While primarily a cosmetic consideration, understanding its nature and origins can provide clarity.

Understanding a Dorsal Hump

A dorsal hump is a prominence or bump on the bridge of the nose. It is composed of excess bone, cartilage, or both. Its size and shape vary significantly, from a slight curvature to a more pronounced protrusion.

Common Reasons for a Dorsal Hump

Genetic inheritance often determines the presence of a dorsal hump. If parents have a prominent nasal bump, their offspring are more likely to develop one. Nasal shape, including a dorsal hump, is largely passed down through family lines.

Nasal development throughout childhood and adolescence also plays a role in the formation of a dorsal hump. Variations in the growth patterns of nasal bone and cartilage can contribute to its appearance. While often not apparent in early childhood, a dorsal hump may become noticeable during puberty as the nose continues to develop.

Past trauma or injury to the nose can sometimes lead to the formation or accentuation of a dorsal hump. A broken nose or other impact can cause the bone and cartilage to heal unevenly, resulting in a bump along the nasal bridge. Even minor injuries, especially during developmental years, can contribute to its development.

Beyond Appearance: Functional Concerns

While a dorsal hump is primarily considered an aesthetic characteristic, in some instances, it may be associated with functional concerns. A significant dorsal hump can impact nasal airflow, contributing to breathing difficulties. This can lead to congestion or obstructed airflow.

In certain cases, a pronounced hump might be linked to or contribute to issues such as chronic sinusitis or sleep apnea. However, these functional problems are less common than purely aesthetic concerns. If breathing difficulties are present, consulting with a medical professional can help determine if the dorsal hump is a contributing factor.

Options for Addressing a Dorsal Hump

For individuals who wish to alter the appearance of a dorsal hump, surgical options are available. Rhinoplasty, commonly known as a nose job, is a primary surgical method for reshaping the nose and reducing a dorsal hump. This procedure involves carefully removing or reshaping the excess bone and cartilage that form the hump to create a smoother nasal profile.

Non-surgical approaches also exist for camouflaging a dorsal hump. Dermal fillers, often composed of hyaluronic acid, can be strategically injected into areas around the hump. By adding volume above and below the bump, fillers can create the illusion of a straighter nasal bridge, offering a temporary solution without surgery.

Before pursuing any option, consulting with a qualified medical professional, such as a plastic surgeon or an ENT specialist, is advisable. A thorough assessment of the nasal structure, discussion of individual goals, and exploration of suitable options can help determine the most appropriate course of action. This consultation allows for a personalized plan, whether considering surgical or non-surgical methods.