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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
What is a Dorsal Hump Nose?
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
What Causes a Dorsal Hump Nose?
A dorsal hump can develop due to a range of structural and anatomical factors:
Genetic Nasal Structure
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.
Bone and Cartilage Composition
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.
Previous Nasal Injury
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.
Growth and Development
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.
Facial Proportions and Profile Balance
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.
Ageing and Subtle Structural Changes
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
When to Consider Professional Treatment for a Dorsal Hump Nose?
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
Dorsal Hump Nose Treatment at Paul Wilson Aesthetics
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
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
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
Why Choose Paul Wilson Aesthetics for Dorsal Hump Nose Treatment?
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
Frequently Asked Questions
How do you get rid of a dorsal hump nose?
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.
Can a dorsal hump nose come back after rhinoplasty?
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.
What is the difference between preservation and structural rhinoplasty?
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.
Will removing a dorsal hump change the shape of my nose?
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.
Tell me about 3D Vectra imaging for rhinoplasty
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
Book a consultation with Paul Wilson Aesthetics
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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VASER liposuction or traditional liposuction? It’s a question we’re asked a lot.
Both can be effective options for removing unwanted fat and improving body shape, but they work in different ways. VASER uses ultrasound energy before the fat is removed and can allow for more detailed contouring. Traditional liposuction may be more suitable when larger areas or volumes need to be treated.
There isn’t one option that is right for everyone. Your anatomy, skin quality, treatment area and the result you’re hoping to achieve all need to be considered.
During your consultation, Mr Paul Wilson will talk you through the options and recommend the approach best suited to you.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#VASERLiposuction #Liposuction #Vaser #BodyContouring #PaulWilsonAesthetics
Preservation rhinoplasty is about refining the nose while preserving its natural character and key structures where appropriate.
This lovely patient is 29 years old and is now 18 months post surgery. Her result shows a smoother bridge and a more refined tip, creating a softer, more balanced profile while keeping everything in harmony with her face.
Most importantly, she’s delighted with her result.
Swipe to view the result from another angle and learn more about preservation rhinoplasty.
Every rhinoplasty is planned individually following consultation.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#preservationrhinoplasty #rhinoplasty #rhinoplastybeforeandafter #paulwilsonaesthetics
Before and immediately after preservation rhinoplasty.
These operating-theatre photographs show the change in profile directly after surgery. The bridge has been carefully refined while maintaining a natural shape that remains in keeping with the rest of the face.
Preservation rhinoplasty uses techniques designed to retain as much of the nose’s natural structure as possible while making the planned changes to its shape.
At this stage, swelling is already present and will continue to change during recovery, so this should not be viewed as the final result.
As with any rhinoplasty, the surgical plan is tailored to the individual patient’s anatomy and the changes they would like to achieve.
Images shared with patient consent. Individual results will vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PreservationRhinoplasty #Rhinoplasty #NoseSurgery #PaulWilsonAesthetics
A refreshed, natural result at six months.
This lovely 69-year-old patient came to see me hoping to improve the signs of ageing around her eyes, cheeks, jawline and neck, while still looking like herself.
She underwent a face and neck lift, upper and lower eyelid blepharoplasty, dermal fat grafting to the upper eyelids to improve hollowing, and silicone cheek implants to add support through the mid-face.
At her six-month review, she was delighted with the outcome, and I am very pleased with how naturally everything has settled.
Images shared with the patient’s full consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#FaceAndNeckLift #deepplanefacelift #Blepharoplasty #FacialRejuvenation #paulwilsonaesthetics
A change in volume, while still keeping the result in proportion.
Breast augmentation is about much more than simply choosing a size. Implant width, profile and projection are all considered alongside the patient’s existing breast tissue, chest width and personal preferences.
The aim for this patient was to add volume and upper pole fullness while creating a shape that complemented her frame.
Every patient is different, which is why every surgical plan is individual.
Images shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #BreastSurgery #PaulWilsonAesthetics
Choosing to have surgery is a big decision, so feeling listened to and supported throughout the process really matters.
Thank you to this patient for taking the time to share such kind feedback about her body contouring experience with Paul and the team. It is always lovely to know that a patient felt informed, reassured and in safe hands from their first consultation onwards.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BodyContouring #PatientReview #PatientExperience #PlasticSurgery #PaulWilsonAesthetics
Two different operations, planned to create one balanced result.
This lovely patient came to see me with significant developmental breast asymmetry and a tuberous breast appearance. It had understandably affected her confidence, particularly when choosing bras and swimwear.
Her aim was for both breasts to look and feel as similar as possible. As each breast required a different approach, the surgery was carefully planned to achieve a more balanced result.
The surgical plan:
◽ Left breast: subfascial augmentation using a 315cc Silimed silicone implant
◽ Right breast: augmentation and reduction mastopexy using a 225cc implant, with 375g of breast tissue removed
I always explain that improving breast shape means accepting scars. These will continue to settle with time.
At six months, I am very pleased with the balance we have achieved and, most importantly, she is delighted with her result.
Images shared with the patient’s kind permission. Individual results vary.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAsymmetry #BreastAsymmetryCorrection #TuberousBreast #BreastAugmentation #paulwilsonaesthetics
Made it to Northwood on two wheels this morning 🚴♂️
Most of the team here are quite used to seeing me arrive by bike. I cycle into work whenever I can, as it’s a great way to enjoy some fresh air, fit in a little exercise and start the day feeling energised.
Now for a quick change out of the Lycra and on with the working day!
#paulwilsonaesthetics #cycletowork
Only three appointments remaining.
Once these appointments have been filled, you can request to join our priority cancellation list.
Meet Consultant Plastic Surgeon Mr Paul Wilson at Northwood Hospital, Bristol, on Saturday 12th September.
These complimentary 15–20 minute introductory appointments offer an opportunity to meet Paul, discuss the surgery you are considering, ask initial questions and understand the next steps.
This is an introductory appointment rather than a full clinical consultation. Advance booking is essential.
To request one of the remaining appointments:
DM us
WhatsApp: 07414 163133
Office: 0117 332 1585
Email: info@paulwilsonaesthetics.co.uk
#PaulWilsonAesthetics #NorthwoodHospital #Bristol #AestheticSurgery #PlasticSurgery
A result worth revisiting.
Photographed just over two months following a deep plane facelift and neck lift, this result shows a fresher, more supported appearance without changing the patient’s character.
The surgery addressed the cheeks, early jowling and neck, creating a smoother transition through the lower face and jawline.
With the patient’s short hairstyle, the area around the ears is particularly visible, making the discreet appearance of the incisions an important part of this result.
The aim of facelift surgery is not to create a different face. It is to help the patient look refreshed while still looking like themselves.
What would you most like to know about deep plane facelift surgery?
Shared with patient consent.
📍 Northwood Hospital, Bristol | The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#DeepPlaneFacelift #NeckLift #FaceliftResults #NaturalResults #PaulWilsonAesthetics
Considering aesthetic surgery and unsure where to begin?
Join us at Northwood Hospital, Bristol, on Saturday 12th September for a complimentary 15–20 minute introductory appointment with Consultant Plastic Surgeon Mr Paul Wilson.
With extensive experience across facial, breast and body surgery, Paul offers a considered and individual approach to every patient.
You are welcome to discuss procedures including:
• Rhinoplasty
• Facelift and facial surgery
• Facial implants
• Hairline lowering
• Breast surgery
• Abdominoplasty and body contouring
• VASER liposuction
• Arm and thigh lifts
This relaxed one-to-one conversation provides an opportunity to meet Paul, ask initial questions, discuss whether the procedure may be appropriate for you and understand the next steps in your surgical journey.
This is an introductory appointment rather than a full clinical consultation.
Appointments are available between 10am and 2pm. Advance booking is essential, and a limited number of appointments are available.
To request an appointment:
WhatsApp: 07414 163133
Office: 0117 332 1585
Email: info@paulwilsonaesthetics.co.uk
Or send us a DM.
Please include the procedure you are considering and whether you would prefer a morning or afternoon appointment.
#PaulWilsonAesthetics #NorthwoodHospital #Bristol #AestheticSurgery #PlasticSurgery
Choosing a surgeon for rhinoplasty involves more than considering the procedure itself. Experience, surgical approach, aftercare and the wider clinical team all form part of the decision.
Mr Wilson has more than 30 years of experience in facial surgery, including extensive experience in rhinoplasty. His practice has evolved from structural rhinoplasty to also incorporating preservation techniques, allowing the surgical plan to be adapted according to the patient’s anatomy and individual concerns.
A significant proportion of his rhinoplasty practice also involves secondary or revision surgery. These procedures are often more complex because the nasal structure may have already been altered by previous surgery, making careful assessment and detailed planning particularly important.
Patients undergoing surgery at Northwood Hospital are supported by an experienced surgical, anaesthetic and nursing team throughout their treatment journey. From the initial consultation and pre-operative assessment to surgery and long-term follow-up, the aim is to provide continuity of care within one clinical setting.
Ultimately, choosing a rhinoplasty surgeon is a personal decision. Patients should feel comfortable asking about experience, techniques, expected outcomes, limitations, risks and aftercare before deciding whether to proceed.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
