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A dorsal hump is a common nasal concern that can affect the overall balance and profile of the face. It typically appears as a bump along the bridge of the nose and may be visible from the side or at certain angles. While often subtle, it can influence how the nose sits in proportion to other facial features.
The prominence of a dorsal hump nose varies among individuals and may be influenced by genetics, nasal structure, or prior injury. For some, it is a defining feature they are comfortable with, while others may feel it disrupts facial harmony.
At Paul Wilson Aesthetics, treatment for a dorsal hump is guided by a detailed assessment of nasal anatomy and facial proportions. Each approach is tailored to the individual, ensuring that any changes are balanced, natural and aligned with the patient’s overall features.
About
A dorsal hump refers to a convexity or raised contour along the bridge of the nose. It is typically composed of bone and cartilage and can vary in size and shape Depending on its structure, a dorsal hump may be more prominent in profile view or contribute to a less smooth nasal line. In some cases, it may also be associated with other nasal features, such as a drooping tip or deviation, which can further influence the nose’s overall appearance.
Causes
A dorsal hump can develop due to a range of structural and anatomical factors:
In most cases, a dorsal hump is inherited. The shape and projection of the nasal bridge are largely determined by genetics, meaning some individuals are naturally predisposed to a more prominent dorsal contour. This becomes more noticeable as facial features mature.
The nasal bridge is formed by both bone (upper portion) and cartilage (lower portion). A dorsal hump often results from an overdevelopment or irregularity in one or both of these components.
Trauma to the nose, such as a fracture, can disrupt the normal structure of the nasal bones and cartilage. During healing, this may lead to uneven bone formation or displacement, creating a visible hump along the bridge.
Changes during adolescence can significantly influence nasal shape. As the nose develops, variations in growth patterns of bone and cartilage can lead to the formation of a dorsal hump, which may become more apparent over time.
The prominence of a dorsal hump is not only determined by the nose itself, but also by surrounding facial features. Factors such as chin projection, forehead slope and overall facial balance can influence how noticeable the hump appears, even when it is relatively subtle.
While dorsal humps are typically structural and present from a younger age, minor changes in skin thickness and soft tissue over time can slightly alter how prominent the nasal bridge appears.
Treatment
Treatment may be considered when a dorsal hump affects the overall balance of the facial profile or becomes a concern from an aesthetic standpoint. For some individuals, this may relate to how the nose appears in their side profile, while for others it may be about achieving smoother nasal contours.
As a dorsal hump is a structural feature of the nose, non-surgical approaches are limited in their ability to address it. A professional assessment allows for a detailed evaluation of nasal anatomy and helps determine whether surgical correction is appropriate.
Options
Treatment for a dorsal hump is surgical and focuses on reshaping the nasal bridge while preserving or restoring natural structure. Mr Paul Wilson offers advanced rhinoplasty techniques designed to achieve smooth, balanced and long-lasting results.
Preservation rhinoplasty is a modern technique that aims to preserve as much of the nose’s natural structure as possible. Rather than removing the dorsal hump from the top, the nasal bridge is lowered while preserving the existing tissues. This approach can result in a smoother profile with reduced disruption to the nasal anatomy, often leading to more natural outcomes and potentially quicker recovery.
Structural rhinoplasty involves reshaping the nasal bones and cartilage to remove or reduce the dorsal hump. This technique allows for precise refinement of the nasal profile and is particularly suitable for individuals with more prominent humps or complex cases.
Choose Us
At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.
His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.
From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you. Supported by a dedicated team, you can expect a seamless and attentive patient experience, where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.
FAQ
The only way to permanently remove a dorsal hump is through rhinoplasty. This can be performed using either preservation rhinoplasty, which lowers the nasal bridge while maintaining its natural structure, or structural rhinoplasty, which reshapes the bone and cartilage directly. The most suitable technique depends on your individual nasal anatomy and desired outcome, which will be determined during your consultation.
When performed correctly, dorsal hump reduction is permanent. Once the bone and cartilage have been reshaped and healed, the hump does not return. However, minor changes in swelling or healing can affect the final appearance in the early stages of recovery.
Preservation rhinoplasty lowers the nasal bridge while preserving the natural dorsal structure, resulting in a smoother, more natural transition. Structural rhinoplasty involves removing and reshaping bone and cartilage, allowing for more precise correction in cases where the hump is more prominent or complex.
Yes, removing a dorsal hump will alter the nasal profile, creating a smoother and more balanced contour. The procedure is carefully planned to ensure that any changes complement your overall facial features and maintain a natural appearance.
3D Vectra imaging is a state-of-the-art technology to create a precise, 3-dimensional, high resolution model of your face. At Paul Wilson Aesthetics, as part of your consultation, 3D Vectra images are taken and processed to give you an idea of what your nose could possibly look like. They do not guarantee a result but ensure that both you and your surgeon are on the same page. These images are morphed in front of you demonstrating the changes and methods required to obtain the best results for you.
Schedule your consultation
Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation where Mr Wilson will assess your concerns, discuss your goals and determine whether preservation or structural rhinoplasty is the most appropriate option for you.
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Discover behind-the-scenes moments, patient transformations, expert tips, and the latest in surgical treatments – all in one place.
To accommodate our regional patients prior to the upcoming seasonal break, Mr Wilson will be hosting his final clinic dates of the year in Bristol, Plymouth and Newport.
These dates are primarily designated for scheduled post-operative reviews and pre-arranged consultations, with limited availability for additional appointments.
To arrange an appointment or confirm specific times, please contact our clinic coordinator team via the link in our bio, direct message or the details below.
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #newport #devon #bristol
You’ve heard of a tummy tuck, but what about a reverse tummy tuck?
This patient had a breast lift with implants (augmentation mastopexy), alongside a reverse abdominoplasty—a combination of breast and abdominal surgery often known as a “mummy makeover”.
A reverse abdominoplasty addresses loose skin above the belly button. The skin is lifted upwards, with excess skin removed through incisions along the folds beneath the breasts.
She’s very pleased with her results, and so am I. For some patients, the difference goes beyond what we see in the photographs. Feeling more comfortable in their body and in the clothes they wear can make a real difference to everyday life.
Individual results vary. All surgery carries risks, which are discussed at consultation.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#mummymakeover #abdominoplasty #breastaugmentation #mastopexy #paulwilsonaesthetics
Breast reduction or breast lift? What’s the difference?
It’s a question that often comes up when someone is unhappy with the shape or position of their breasts.
A breast lift, or mastopexy, removes excess skin and reshapes the breast tissue to lift the breasts and reposition the nipples. A breast reduction also removes breast tissue to make the breasts smaller, usually with a lift as part of the procedure.
The right choice depends on more than appearance. We discuss whether you want to be smaller, how the weight of your breasts affects you, and what you hope to achieve.
These photographs show this patient’s mastopexy result from the front and side.
At consultation, we can talk through which approach suits your anatomy and goals, including the scars and recovery involved.
Individual results vary.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#PaulWilsonAesthetics #Mastopexy #BreastLift #BreastReduction
What haunts a plastic surgeon? Sometimes, it is a few familiar words.
“My partner thinks I should have it done.”
“This will fix everything.”
“Just one more little change…”
And occasionally:
“Of course I’ll rest… I’ve just got the school run and the house to clean.”
This Halloween, we’re opening the book on the conversations behind these familiar phrases. Whose decision is it? What do you hope surgery will change? When is it time to pause? And have you really made room for recovery?
Each deserves time, honesty and understanding.
You don’t need to arrive at a consultation with perfect answers. Bring your questions, your expectations and anything you feel unsure about.
Nothing to hide. Everything to discuss.
Wishing you a lovely Halloween weekend.
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #PatientCare #plasticsurgeon #paulwilsonaesthetics
Swipe to see the before & after in motion →
The art of subtlety ✨
Revisiting this preservation rhinoplasty result.
This lovely patient wanted to soften the dorsal hump on her bridge while maintaining a natural appearance in harmony with her features.
Preservation rhinoplasty aims to retain as much of the nose’s existing anatomy as possible. In suitable patients, the bridge can be lowered by modifying the supporting structures beneath it, rather than removing the hump directly from above.
The aim: a subtle refinement that respects the individual character of the face.
Procedure: Preservation rhinoplasty
Anaesthetic: General
Hospital stay: One night
Every nose is unique. The surgical approach is tailored to each patient’s anatomy and goals.
Individual results and recovery vary.
Photo shared with patients kind consent .
📍 Consultations: Bristol · Plymouth · Newport · London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #paulwilsonaesthetics
Your surgical team is here to protect you, never to judge you.
An open, honest conversation about your health, medications and lifestyle is an important part of preparing for surgery and planning your recovery.
Whether it’s smoking, weight-loss injections (GLP-1s), HRT or difficulties wearing your prescribed compression garment, please tell us. These details help us tailor your care, reduce avoidable risks and support your recovery.
Even if something feels uncomfortable to mention, we’re here to listen and help.
If you have questions about preparing for surgery or your aftercare, my team at Paul Wilson Aesthetics is here to guide you every step of the way.
🔗 Tap the link in our bio to learn more or to book a confidential consultation.
📍 Consultations: Bristol • Plymouth • Newport • London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #patientcare #paulwilsonaesthetics
It was a pleasure to catch up with my lovely patient this week, 16 months after her deep plane facelift and neck lift with me.
This reel follows her journey from before surgery to six weeks post-op, and then to her recent review.
Early results are only part of the story. At six weeks, healing is still underway. As swelling settles and the tissues heal, the result can continue to soften and refine.
We are both delighted with how her result has settled.
Every patient’s recovery is different. These photographs show one patient’s experience;
Healing takes time, and patience is an important part of the process. Results evolve over months as swelling settles and tissues soften. Giving yourself that time allows you to appreciate how your result settles, beyond the early stages of recovery.
Photos shared with patients kind consent.
📍 Consultations: Bristol • Plymouth • Newport • London
To discuss your options or arrange a consultation, please contact my team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
🌐 paulwilsonaesthetics.co.uk
💳 0% finance options available.
#DeepPlaneFacelift #Facelift #NeckLift #FaceliftRecovery #paulwilsonaesthetics
I’m pleased to announce that I will be offering monthly specialist consultations at The Erme Clinic in Plymouth, beginning on Friday 27 November.
This new clinic will make it easier for patients across Devon and Cornwall to meet with me closer to home and discuss options for face, breast and body surgery.
Each appointment will be a full, personal consultation, allowing time to discuss your concerns, explore the appropriate options and ask any questions you may have.
Consultations will take place in Plymouth, with surgery undertaken at Northwood Hospital in Bristol.
At Paul Wilson Aesthetics, patients receive consultant-led care throughout their surgical journey, with comprehensive support and aftercare from our experienced dedicated team.
All surgery is subject to a full consultation and individual assessment.
My team and I look forward to welcoming you to our Plymouth clinic.
For more details or to arrange a consultation, please contact our team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
🌐 paulwilsonaesthetics.co.uk
💳 0% finance options available for selected procedures, subject to status, eligibility and terms.
#Plymouth #Devon #Cornwall #PlasticSurgery #paulwilsonaesthetics
OPEN RHINOPLASTY
Before and immediately after an open rhinoplasty I performed at Northwood Hospital, Bristol .
Our aim was to reduce the height of the nasal bridge and address a slight deviation, improving the symmetry of the patient’s nose while maintaining breathing function.
The after photograph was taken immediately following surgery in theatre. Swelling is present at this stage, and the result will continue to develop as healing progresses.
Both the patient and I are pleased with how healing is progressing and the results so far.✨
Individual results vary.
Photos shared with patients kind consent.
For more details, contact our team:
📱 Enquiries: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
#OpenRhinoplasty #Rhinoplasty #rhino #PaulWilsonAesthetics
As we approach our first birthday since opening Northwood Hospital, it’s wonderful to receive feedback like this from a patient who underwent a deep plane facelift and neck lift with me. ✨
Choosing to have surgery is a big decision, so knowing that she felt supported and well cared for throughout her experience means a great deal to me and the whole team.
Thank you for taking the time to share your experience with us.
Swipe to read more of our patients review 🤍
For more details, contact our team.
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
#patientfeedback #deepplanefacelift #paulwilsonaesthetics #patientcare
“What if I regret it?” is a completely understandable question when considering permanent surgery.
Careful planning is an important part of hairline lowering surgery. The position and shape of the new hairline need to suit the patient’s facial proportions, existing hairline and hair density.
Our lovely patient is shown before surgery and 12 months afterwards. The aim was to create a softer, lower hairline that still looked natural and individual to her.
For more information about hairline lowering surgery with Mr Paul Wilson at Northwood Hospital, Bristol,please contact our team:
📱 Enquiries: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
Photos shared with patients kind consent.
#HairlineLowering #HairlineLoweringSurgery #PaulWilsonAesthetics #foreheadreduction
ANNOUNCEMENT
More flexibility when planning your surgery.
We are pleased to announce that Paul Wilson Aesthetics has partnered with Chrysalis Finance, giving eligible patients the option to spread the cost of their surgery through monthly payments.
Finance options are now available for surgery with Paul Wilson at Northwood Hospital, Bristol and The London Welbeck Hospital.
For more details, contact our team:
📱 Enquiries: 07414 163133
💬 WhatsApp: 07414 163133
☎️ Office: 0117 332 1585
✉️ info@paulwilsonaesthetics.co.uk
💳 0% finance options available
Subject to status, eligibility and terms.
#PaulWilsonAesthetics #northwood_hospital #LondonWelbeckHospital #PlasticSurgery
WATERMANS BAY LIMITED trading as Paul Wilson Aesthetics is an Appointed Representative of Chrysalis Finance Limited, which is authorised and regulated by the Financial Conduct Authority. WATERMANS BAY LIMITED is a credit broker, not a lender. The provider of a payment scheme which is not offered through or by Chrysalis Finance Limited may not be so authorised and regulated.