Abstract
Although not as prevalent as in Caucasian rhinoplasty, correction of a hump nose also
poses a significant problem for East Asian rhinoplasty. The hump noses in East Asians
can be classified as generalized humps, isolated humps, and relative humps with a
low tip. Appropriate management of the Asian hump nose demands a good understanding
of the anatomical characteristics unique to East Asians. As the East Asians generally
prefer to have a nose with a prominent tip and well-augmented nasal dorsum, the concept
of redistribution is significant in managing convex dorsum of the East Asians. Hump
reduction should be done in a conservative and incremental manner, including careful
removal of the bony cap and cartilaginous hump. Tip augmentation using a septal extension
graft is an essential maneuver to achieve an aesthetically pleasing tip height, which
has a tremendous impact on the overall aesthetic outcome. Midvault reconstruction,
dorsal augmentation, and camouflage are additional key elements for the success of
the operation. Complications such as undercorrection and dorsal irregularities are
not uncommon, requiring surgeons to take utmost care to address them.
Keywords
hump nose - asian - tip augmentation - dorsal augmentation - camouflage
