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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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Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia.
Hypomastia is the medical term for naturally underdeveloped breast tissue. It`s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile silicone micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient`s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: What’s the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath — keeping your natural dorsum fully intact. 👃
Why people love it 💕
✅ More natural front view (no widening!)
✅ Preserves your dorsal aesthetic lines
✅ Fewer grafts needed
✅ Quicker recovery & less bruising 🤍
✅ Smoother long-term results
The fine print 📝
⚠️ Hump recurrence is the #1 risk
⚠️ Best for straight noses with small/medium humps
⚠️ Technically harder — surgeon experience is everything
⚠️ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real — if you’re a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. 🤍
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
🦋From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose — high radix, dorsal hump, an over-projected tip and a hanging columella. ✂️ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? 👇
✅ Accredited BAAPS Plastic Surgeon
✅ Dual-qualified
✅ Preservation rhinoplasty specialist — less disruption, more natural outcomes
✅ Brand new, state-of-the-art CQC registered hospital
✅ Perfectly located in Bristol — easy reach from London & the South-West
Nature, meet refinement. 🏥✨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face — and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2–4 hours, with most patients returning to everyday life within 2–3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION ↗
#Rhinoplasty #NoseJob #RhinoplastyUK #FacialAesthetics #PlasticSurgery #NoseReshaping #CosmeticSurgery #PaulWilsonAesthetics #NorthwoodHospital #FacialSurgery #NaturalResults #SurgicalAesthetics #FacialHarmony #BristolSurgeon #Rhinoplasty2026 #BeforeAndAfter #ConfidenceRestored #AestheticSurgery #FacialRefinement #CosmeticSurgeonUK
Precision in motion. 🦴✨
Meet Paul Wilson — one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture — the kind of knowledge that comes from a background in dentistry — allows for implant placement that’s tailored, precise, and harmonious with each patient’s natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. 💙
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Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
📞 Call us today to book your private consultation
💬 Or send us a DM — we’re happy to answer your questions
🔗 Tap the link in our bio to learn more and enquire
VASER 3D Liposuction @northwood_hospital goes beyond fat removal — it’s full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
✔️ 3D high-definition contouring
✔️ Sculpting that follows your natural lines
✔️ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
📍 Northwood Hospital
📩 DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
⭐Patient Testimony⭐ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
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