Facial plastic surgeon and rhinoplasty specialist Dr. Thomas
Buonassisi has released some important information about
successful hump reduction. Dr. Buonassisi, who heads up 8
West Cosmetic Surgery, says that reduction of a dorsal hump
is one of the most common requests he receives from his
Vancouver rhinoplasty patients.
Dr. Buonassisi Discusses the Keys to Success with Hump Reduction Rhinoplasty
Facial plastic surgeon and rhinoplasty specialist Dr. Thomas Buonassisi has
released some important information about successful hump reduction in
Vancouver. Dr. Buonassisi, who heads up 8 West Cosmetic Surgery, says that
reduction of a dorsal hump is one of the most common requests he receives from
his Vancouver rhinoplasty patients. What are the keys to a success? It starts with
a thorough consultation with a rhinoplasty expert who can manage the patient's
expectations appropriately and make some sounds decisions about the best
changes to make to the nose.
A visual nasal examination is critical for evaluating the relevant anatomy and
discovering potential breathing problems. Evaluation of the nasal septum and
upper lateral cartilages allows for planning of hump reduction techniques. For
example, narrow angles between the upper lateral cartilages and nasal septum
(the internal valve area) may predispose to the patient to post operative breathing
problems and may require special techniques to help prevent those problems
from occurring. Also, it is very important in general to have a thorough
intranasal exam to rule out the possibility of any medical conditions that might
otherwise go undiagnosed.
Computer imaging is an essential tool for communication what is possible with
rhinoplasty. With this tool, the surgeon can show the degree of change that is expected
and have a concrete discussion about what looks best. Why leave this part to the
imagination? This is no time for guessing.
Discussion of Risks
There are two categories of risk when it comes to rhinoplasty surgery: 1) medical risk and
2) cosmetic risk. The chances of having a serious medical complication from rhinoplasty is
extremely low - and surgeon should discuss the possibilities of bleeding and infection. On
the other hand, the chances of having a cosmetic complication from rhinoplasty is
relatively high - roughly 10% for most experienced rhinoplasty surgeons. The surgeon
should discuss the possible cosmetic complications of hump reduction, including the
chance that the patient will develop a callous post surgery that gives the appearance that
the hump is returning. This complication is relatively uncommon, but patients should be
aware of it before making the decision to have surgery. Calluses can usually be improved
with minor revision surgery.
Every nose and face is different and each patient will have limitations of rhinoplasty that
their surgeon should identify for them. For example, the bridge can only be reduced so
much. The surgeon should identify if there are any reasons that the degree of reduction
desired is not possible. Thick skin can mask the degree of refinement to the nose post
surgery - if the patient has thick skin, the surgeon should discuss the limitations of
surgery during his consultation.
“In our experience, well-informed patients are happy patients. Though hump-
reduction surgery has very high rates of satisfaction, having a thorough
consultation with a specialist beforehand is key.” said Dr. Thomas Buonassisi.
About 8 West Cosmetic Surgery
8 West Cosmetic Surgery is a premier cosmetic plastic surgery practice located in
beautiful Vancouver, BC. Dr. Thomas Buonassisi is a Board Certified Facial Plastic
Surgeon who focuses his practice on cosmetic surgery of the nose, face, neck, eyes,
and ears. He completed his fellowship training with leading cosmetic facial
surgeons in the United States and Australia. He focuses his practice exclusively on
cosmetic surgery from the neck up. He is widely regarded by his medical peers as
an expert facial and nasal surgeon. To consult with him, call 604-733-1669 or visit