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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.
An abdominoplasty is about more than removing excess skin.
Where rectus diastasis is present, the abdominal wall can be tightened by bringing the separated tissues back towards the midline. This creates a firmer internal foundation and can help improve the shape and support of the abdomen.
The procedure may also include removing excess skin and fat, reshaping the abdominal contour and repositioning the belly button where appropriate.
Every abdominoplasty is planned around the patient’s individual anatomy, concerns and goals. Not every patient will require the same elements of surgery.
Images shared with patient consent. Individual suitability, recovery and results vary. A consultation is required to discuss the most appropriate treatment for you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#Abdominoplasty #TummyTuck #RectusDiastasis #paulwilsonaesthetics
“Can surgery make me look like my filter?”
It’s a question that comes up more often than you might think.
Bringing a filtered or AI edited image to a consultation can be helpful because it shows me what you are drawn to. The difficulty is that these images often change several things at once, including the eyes, nose, brows, jawline and skin. They do not take account of real anatomy or how the face moves.
Surgery works with living tissue, so a filtered image cannot be treated as an exact blueprint. It can, however, be a useful starting point for an honest conversation about what you would like to change and what may be achieved safely and naturally.
The aim should be a result that still looks like you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#plasticsurgery #AestheticSurgery #PatientEducation #paulwilsonaesthetics
A patient journey following VASER liposuction to the neck.
These photographs show the progression from careful pre-operative planning and marking, through the early post-operative stage, to three weeks after surgery.
VASER liposuction uses ultrasound-assisted technology to target and remove localised areas of fat with precision. This can make it a suitable option for carefully selected patients seeking greater definition beneath the chin and along the neck and jawline.
At three weeks, healing is still at an early stage and some swelling may remain. The result will continue to settle and refine over the coming weeks and months. Our patient is already very pleased with her progress and the outcome so far.
Thank you to our lovely patient for kindly allowing us to share her journey.
Individual suitability, recovery and results vary. A consultation is required to discuss the most appropriate treatment for you.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#VASERLiposuction #NeckLiposuction #liposuction #PatientJourney #PaulWilsonAesthetics
A heartfelt patient review, shared in her own words. ✨
At just three days post-op, our patient describes the early changes she could already see, how emotional the experience felt and the care she received at Northwood Hospital.❤️🏥
Swipe to read her full review.
Recovery and results are individual, and this patient is still at a very early stage with swelling yet to settle.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#PatientReview #Northwood_hospital #PaulWilsonAesthetics #Vaser
Three years on from breast reduction surgery ✨
Our patient has kindly allowed us to share her journey and these photographs, showing how she feels today following her procedure. It is wonderful to see her looking so happy and confident.
Breast reduction surgery can help alleviate the physical discomfort associated with disproportionately large breasts, while creating a shape that feels more comfortable and in proportion.
Thank you to our patient for allowing us to share her experience.
Every patient and outcome is individual. A full consultation is required to discuss suitability, potential risks and expected results.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastReduction #breastsurgery #patientjourney #paulwilsonaesthetics
A very enjoyable day at the joint BAAPS & ESAPS 2026 Meeting in London! 🇬🇧
These meetings are always a valuable opportunity to learn, exchange ideas and catch up with colleagues and industry partners.
It was good to spend time with the teams from VASER, MACOM and Silimed, as well as catching up with a fellow consultant friend from Truro, Cornwall.
Looking forward to the rest of the scientific programme over the next couple of days! 🩺✨
#plasticsurgery #plasticsurgeons #paulwilsonaesthetics
We do not always have the opportunity to capture the first time a patient sees the result of their surgery, but when we do, it can be incredibly special.
This patient underwent forehead reduction surgery, and this was the moment she saw her new hairline for the first time. The happiness in her reaction says everything.
Moments like this remind us that surgery can mean far more to a patient than the physical change alone.
This was an early postoperative reveal and the patients healing continued for her over the following months.
Shared with our patient’s kind permission.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#hairlinelowering #foreheadreduction
#patientjourney
#paulwilsonaesthetics
Not every question is easy to ask.
Some can feel personal, awkward or even a little embarrassing, but they are often the questions that matter most.
A few honest answers to things patients sometimes hesitate to say out loud.
There is no such thing as the wrong question in a consultation. It is important to understand what surgery involves, what recovery may really be like and how it could affect your everyday life.
Clear, straightforward answers allow patients to consider their options properly and make decisions in their own time.
If you are considering surgery but are not yet ready for an in-person appointment, we also offer introductory virtual consultations. This can be a helpful first step and an opportunity to talk through your initial questions.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#patienteducation #plasticsurgery #plasticsurgeon #paulwilsonaesthetics
One result, seen from different angles.
With septo-rhinoplasty, it is important to consider how the nose sits within the whole face, not only how it looks from the side.
In this case, surgery addressed the dorsal hump and tip projection while maintaining a result that remained in keeping with the patient’s natural features.
The profile shows the change most clearly, while the oblique views demonstrate how the new shape complements this lovely patient’s natural features.
Swipe to see the result from each angle.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#rhinoplasty #septorhinoplasty #septoplasty #paulwilsonaesthetics
Weight loss affects every body differently.
For some people, the biggest change is around the face and neck. For others, it may be the upper arms, breasts, abdomen or thighs. Sometimes it is one area; sometimes several.
Surgery after significant weight loss is never one-size-fits-all. Depending on your anatomy and concerns, options may include a facelift and neck lift, brachioplasty, thigh lift, abdominoplasty or breast surgery. VASER may also be considered for targeted body contouring where appropriate.
The aim is to address the changes that weight loss can leave behind and create a treatment plan that feels right for you.
Swipe through to explore some of the areas that can be affected.
All photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#surgeryafterweightloss #weightlosssuccess #glp1 #weightlosssurgery #paulwilsonaesthetics
This lovely 30-year-old patient came to see me hoping to move from an AA cup towards natural B/C cup proportions.
Her priority was to add shape and volume while keeping the result balanced with her slim frame.
We used Vectra 3D imaging during the planning process and selected 295cc high-profile Silimed True Texture Natural-Biodiesign implants.
The photographs show her before surgery and at 12 months, once the implants had settled and the result had matured.
Implant selection is about much more than volume alone. Chest width, existing breast tissue, body proportions and the patient’s preferred look all need to be considered carefully.
Every patient and every result is different. A consultation is needed to discuss what may be suitable for you.
Photos used with patients kind consent.
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#BreastAugmentation #BreastImplants #PaulWilsonAesthetics
Thinking about breast augmentation? Your consultation with Mr Paul Wilson is the first step.
Mr Wilson will talk you through your goals, expectations and the options available to you. Every patient’s breast anatomy is different, so the choice of implant needs to be tailored to your individual shape, proportions and desired result. You will have the opportunity to discuss different implant types, sizes and profiles, as well as what to expect from surgery and recovery.
Vectra 3D imaging will also be used during your consultation to help visualise how different implant sizes and shapes may look on your individual frame. It’s a useful tool for discussing your options and ensuring your treatment plan is tailored to your anatomy and goals.
It’s also a chance to ask questions, understand your options and feel fully informed before making any decision—there’s no pressure to decide on the day.
To book a consultation, please contact us using the details below:
📍 Northwood Hospital, Bristol
📍 The London Welbeck Hospital
☎️ Office: 0117 332 1585
📱 Call or WhatsApp: 07414 163133
✉️ info@paulwilsonaesthetics.co.uk
#breastaugmentation #paulwilsonaesthetics #northwoodhospital #londonwelbeckhospital