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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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Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A neck lift is designed to address laxity beneath the chin and along the jawline.
Some patients are less concerned with their face itself, and more with the way their neck has changed over time. Loss of definition, heavier tissue, or loose skin in this area can affect overall facial balance.
A neck lift focuses on restoring a more defined contour through careful surgical planning, with the aim of achieving a result that looks natural for the individual.
As with any procedure, suitability depends on anatomy, skin quality, and the changes being treated.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Augmentation Mastopexy | Before & After
Her primary concern was not size, but rather the degree of ptosis (drooping) and the altered shape of her breasts.
This distinction is important, as it fundamentally changes the surgical approach.
In this instance, the breasts required lifting and reshaping, not merely augmentation. We discussed achievable outcomes, the degree of support the existing tissues could provide, and the appropriate implant volume to achieve optimal results once the breasts were repositioned. The procedure combined a mastopexy with implants to address these issues concurrently, with the aim of creating a more balanced overall appearance.
These procedures require a meticulous approach. The patient`s initial anatomy, tissue quality, and the extent of lift required all influence the surgical plan.
The result shown here is the outcome of that process, although healing continues well beyond the initial stages.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #augmentationmastopexy #breastliftwithimplants #breastsurgerybristol #northwoodhospital
Abdominoplasty | Before & After
The abdomen can be one of the most challenging areas to restore after the tissues have been stretched. Even in individuals who are otherwise fit and healthy, excess skin and reduced support can persist.
In a suitable patient, abdominoplasty can improve the abdomen`s shape by removing excess tissue and addressing the underlying support where necessary. The aim is not to create an artificial appearance, but to restore a contour that feels more proportionate to the rest of the body.
As with any surgery, healing is an integral part of the process. Swelling subsides over time, scars soften gradually, and the final result continues to improve.
See the result in more detail.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
INDIRECT LIP LIFT + TRANSNASAL ALAR CINCH — REVISION CASE ✨
Top: before. Bottom: after revision.
This patient presented after a previous lip procedure left him with an excessively long upper lip at 18mm, minimal vermillion show, and a wide alar base disrupting central facial harmony.
Post-revision: philtral length reduced to 12mm — a 6mm correction into ideal proportion (12–15mm is the youthful range for men) — paired with a refined, narrower nasal base.
Two procedures, one harmonious result:
🔸 Indirect Lip Lift (Subnasal Bullhorn) — precise excision of skin beneath the nose to shorten the upper lip, increase pink lip show, and restore the cupid’s bow. No filler.
🔸 Transnasal Alar Cinching Suture — a rhinoplasty technique specialised by Mr Wilson. A hidden suture passed through the nose draws the alae medially, narrowing flared nostrils with no visible external scarring — a major advantage over traditional alar base reduction.
Revision work demands exact measurements, respect for existing scar tissue, and meticulous management of altered tension vectors. There is no margin for over-correction.
The synergy is what creates harmony: a shorter lip without a refined base looks disproportionate; a narrowed base alone leaves the lower face heavy. Together — balanced, masculine, natural.
Procedure by Paul Wilson Aesthetics at Northwood Hospital.
📍 Consultations — link in bio
#LipLift #BullhornLipLift #AlarBaseReduction #TransnasalCinch #Rhinoplasty RevisionSurgery PaulWilsonAesthetics NorthwoodHospital FacialHarmony MaleAesthetics BeforeAndAfter
✨ Revision Rhinoplasty at Paul Wilson Aesthetics ✨
Precision. Expertise. Artistry.
Revision rhinoplasty is one of the most technically demanding procedures in facial plastic surgery — and it’s a cornerstone of our practice at Northwood Hospital. Patients travel to us from across the country because secondary nasal surgery requires a level of skill, planning, and experience that few surgeons offer.
Every revision case is unique. Scar tissue, altered anatomy, and previous structural changes mean there’s no room for a one-size-fits-all approach. We rebuild with care — restoring both function and the natural, balanced result patients hoped for the first time.
🔬 National experts in revision rhinoplasty
📍 Northwood Hospital
👃 Functional + aesthetic refinement
💙 Patient-centered care from consultation to recovery
If your first rhinoplasty didn’t deliver the result you deserved, a second opinion can change everything.
📩 DM us or visit the link in bio to book a consultation.
#RevisionRhinoplasty #Rhinoplasty #PaulWilsonAesthetics #NorthwoodHospital #FacialPlasticSurgery NoseJob SecondaryRhinoplasty PlasticSurgery BeforeAndAfter FacialHarmony
✨ Hairline Lowering / Foreheadplasty ✨
Measuring up for a beautifully balanced result 📏
📍 Northwood Hospital, Bristol
🔗 Link in bio to book your consultation
Welcome to Paul Wilson Aesthetics — where surgical precision meets artistry. Led by Mr Paul Wilson, our clinic specialises in advanced facial and aesthetic procedures designed to enhance your natural features and restore facial harmony. With years of expertise and a meticulous, patient-first approach, we’re proud to be a trusted name for those seeking refined, natural-looking results.
All surgical procedures are carried out at Northwood Hospital, Bristol 🏥 — a private hospital known for its exceptional standards of care, comfort, and clinical excellence.
One of our signature procedures? Hairline lowering surgery (foreheadplasty).
A high or elongated forehead can throw off the natural proportions of the face — and for many of our patients, it’s something they’ve felt self-conscious about for years. Hairline lowering brings the hairline forward in a single procedure, instantly restoring balance to the upper third of the face.
What it can do:
🌿 Reduce forehead height by up to 2.5cm in one procedure
🌿 Create softer, more feminine facial proportions
🌿 Frame the face beautifully
🌿 Deliver immediate, natural-looking results
Every journey at Paul Wilson Aesthetics begins with precise measurements and a personalised consultation — because no two faces are the same, and careful planning is what turns a good result into a stunning one.
Ready to feel more confident in your reflection? 💌
📍 Northwood Hospital, Bristol
🔗 Link in bio to book your consultation
#HairlineLowering #Foreheadplasty #PaulWilsonAesthetics #BristolSurgeon #NorthwoodHospital FacialHarmony AestheticSurgery CosmeticSurgery FacialProportions HairlineSurgery BristolAesthetics ConfidenceBoost BeforeAndAfter
Sometimes, the first signs of ageing appear around the eyes.
Excess skin or heaviness in the upper eyelids, or puffiness beneath the eyes, can make the face look more tired than it feels. Blepharoplasty is designed to address these changes with a careful, tailored approach to the upper eyelids, lower eyelids, or both.
The aim is not to change the eyes` appearance, but to restore a fresher, more open look while ensuring the result is natural and in harmony with the rest of the face.
As always, the most suitable surgical plan depends on the individual, their anatomy, and the underlying cause of their concerns.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Foreheadplasty | Before & After
This type of surgery is less about changing a feature and more about restoring balance.
Where the forehead feels too dominant, lowering the hairline can alter the proportions of the upper face in a meaningful way. The procedure, often referred to as forehead reduction or hairline lowering, advances the scalp to reduce forehead height, with the plan carefully tailored to the individual.
As always, what matters most is choosing the right operation for the right reason, then allowing time for healing and scar maturation afterwards.
See the results for yourself.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
The setting matters, but so do the people within it.
At Northwood Hospital, patients are supported by a team whose role goes far beyond logistics. Their priority is to create an environment that feels calm, professional, and reassuring from the moment you arrive.
Excellent surgical care is never delivered by one person alone. It depends on experienced theatre staff, nursing teams, hospital support, and clear communication at every stage.
This is the team that helps make that positive experience possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Augmentation Mastopexy | Before & After
Over time, she felt her breasts had lost fullness, shape, and position. Her main concern was not simply size, but the way her breasts sat and the lack of support in the upper part of the breast.
We discussed the changes she had noticed and the type of result that would feel balanced for her figure. The plan was to restore upper fullness and improve breast position in a way that looked proportionate and in keeping with her frame. To achieve this, I combined a breast lift with implants, allowing both shape and volume to be addressed in the same operation.
Augmentation mastopexy is a procedure that requires precision and judgement. The tissues need to be managed carefully, and the surgical plan must be tailored to the individual anatomy, rather than following a standard formula.
The early result is only part of the process. The breasts will continue to settle, soften, and refine as they heal over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Abdominoplasty | Before & After
Changes to the abdomen can involve multiple concerns simultaneously. Excess skin, reduced abdominal wall support, and an altered overall contour can all affect how this area sits in relation to the rest of the body.
In this case, the aim of surgery was to improve the abdominal contour in a way that looked balanced and suited the individual. As always, this begins with a careful assessment, a clear plan, and an honest discussion about what surgery can realistically achieve.
Healing takes time. Swelling settles gradually, scars continue to mature, and the result refines over the following months.
Take a closer look at the result.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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