Mumbai

Hyderabad

Mumbai

Hyderabad

Rhinoplasty for Dorsal Hump Correction

Nose Reshaping Surgery for a Balanced Facial Profile

A 26-year-old architect from Hyderabad had always been self-conscious about her nose. The prominent bump on the bridge dominated her profile in every photograph. She avoided side-angle photos entirely. After years of considering her options, she consulted Dr. Harikiran Chekuri at Redefine Clinic. A carefully planned rhinoplasty addressed the dorsal hump while refining the tip, creating a nose that finally felt like hers.

PATIENT PROFILE

PARAMETER
DETAIL
Age
26 years
Gender
Female
Occupation
Architect
City
Hyderabad, India
Presenting Complaint
Prominent dorsal hump, slightly bulbous tip, unbalanced profile
Diagnosis
Dorsal hump deformity with mild tip ptosis (drooping)
Skin Type
Medium thickness (favorable for rhinoplasty)
Breathing Issues
None - purely cosmetic concern
Previous Treatments
None
Date of Surgery
November 2025
Outcome
Excellent

THE PROBLEM

She noticed it first in her school photos. That bump on the bridge of her nose that seemed to grow more prominent every year. By college, she had mastered the art of the three-quarter angle, always turning slightly toward the camera to minimize the profile view. She never let anyone photograph her from the side.

As an architect, she spent her days designing beautiful spaces. The irony was not lost on her. She could create perfect proportions in buildings but had to live with what she saw as an imbalance on her own face. The hump dominated her profile. When she smiled, the tip seemed to droop slightly, making it more noticeable.

She had thought about rhinoplasty for years but worried about looking unnatural or having a nose that did not match her face. She did not want a cookie-cutter result. After extensive research on nose reshaping surgery, she scheduled a consultation with Dr. Harikiran Chekuri to understand what was realistically achievable.

CONSULTATION & TREATMENT PLAN

WHAT WAS ASSESSED DURING THE CONSULTATION

A comprehensive facial and nasal analysis was performed:

  • Facial proportions and symmetry evaluated
  • Dorsal hump measured: approximately 4mm prominence
  • Nasal tip assessment: mild ptosis, slightly bulbous
  • Skin thickness evaluated: medium (ideal for showing refinements)
  • Internal nasal examination: no septal deviation, normal airways
  • Photographic analysis from multiple angles
  • Computer imaging to visualize potential outcomes
  • Patient goals discussed: natural result, balanced profile, refined tip

SURGICAL PLAN

  • Closed rhinoplasty approach (all incisions inside the nose)
  • Dorsal hump reduction using the precision rasping technique
  • Lateral osteotomies to narrow the nasal bridge after hump removal
  • Tip refinement with cartilage reshaping
  • Slight tip rotation to correct drooping
  • Conservative approach to maintain ethnic harmony and natural appearance

PRE-OPERATIVE PHOTOS

Baseline photographs documented the dorsal hump, tip shape, and overall nasal proportions. Images were captured from frontal, lateral, oblique, and basal views under standardized lighting.

Before (left) and after (right) close-up profile of a woman's face, highlighting subtle changes around the nose and eye area.

PROCEDURE DETAILS

  • Surgery performed under general anesthesia
  • Closed rhinoplasty approach – incisions made inside the nostrils
  • Nasal skin carefully elevated from the underlying cartilage and bone
  • Dorsal hump reduced using precision rasp – 4mm of bone and cartilage removed
  • Lateral osteotomies performed to close the open roof and narrow the bridge
  • Lower lateral cartilages reshaped to refine the tip
  • Tip rotated slightly upward using suture techniques
  • Internal splints placed to support the septum
  • External nasal splint and tape applied for support

PROCEDURE FACTS

PARAMETER
DETAIL
Procedure
Closed Rhinoplasty (Dorsal Hump Reduction + Tip Refinement)
Duration
Approximately 2 hours
Anesthesia
General anesthesia
Approach
Closed (endonasal) - no external incisions
Hump Reduction
Approximately 4mm of bone and cartilage
Osteotomies
Bilateral lateral osteotomies to narrow the bridge
Tip Work
Cartilage reshaping + suture tip rotation
Hospital Stay
Day care procedure (discharged the same evening)
Complications
None

POST-OPERATIVE RESULTS

The splint came off at one week. Even with the swelling, the hump was gone. The profile that had bothered her for years was already transformed. By week four, most of the visible swelling had subsided, and she could see the refined shape emerging. At six months, the tip had settled beautifully. The nose looked natural, like it had always belonged on her face. By one year, the final result was complete. A smooth profile, a refined tip with a slight upturn, and perfect harmony with her other features.

Two-panel side-by-side headshots of a woman showing before (left) and after (right) facial refinements, focusing on the eye and cheek area.

OUTCOMES AT A GLANCE

OUTCOME METRIC
RESULT
Dorsal Profile
Smooth, straight - hump completely eliminated
Nasal Tip
Refined, slightly rotated - no longer drooping
Bridge Width
Appropriately narrowed - balanced with facial width
Facial Harmony
Excellent - nose complements other features naturally
Breathing
Unchanged - no functional impact
Scarring
None visible - all incisions internal
Complications
None

PATIENT FEEDBACK

Feedback recorded at the 12-month follow-up visit at Redefine, Hyderabad.

Google Review

★ ★ ★ ★ ★  5.0

Verified Patient  (Name withheld for privacy)

“I spent years avoiding profile photos. Always turning my face, always conscious of that bump. The hardest part was the waiting after surgery. The swelling takes time to go down. But when it did, I could not believe it was my nose. It looks like it was always supposed to look this way. Natural, balanced, like it fits my face. My colleagues have not even realized I had surgery. They just say I look different, happier. And I am. I finally take photos from any angle without thinking twice.”

Profile: Female · 26 years · Architect · Hyderabad

Procedure: Rhinoplasty · Redefine, Gachibowli · November 2025

Doctor: Dr. Harikiran Chekuri · Redefine

Note: Due to privacy regulations, we cannot display the patient’s name. This review has been shared with the patient’s written consent.

POST-OPERATIVE CARE & RECOVERY

  • Keep head elevated at all times for the first week, including during sleep
  • Apply cold compresses around the eyes (not on the nose) to reduce swelling
  • Do not blow your nose for 2 weeks – sneeze with mouth open if needed
  • Avoid glasses resting on the nose for 6 weeks (use tape to the forehead if necessary)
  • No strenuous exercise for 3 weeks
  • Avoid direct sunlight on the nose for 3 months
  • Take prescribed medications as directed
  • Attend all follow-up appointments

RECOVERY TIMELINE

TIMEFRAME
WHAT TO EXPECT
Day 1-3
Maximum swelling and bruising around the eyes. Nasal congestion. Rest at home.
Day 7
Splint and internal splints removed. Bruising fading. Initial shape visible.
Week 2-3
Most bruising has resolved. Can return to work. Swelling is still present but is reducing.
Month 1-2
Major swelling subsided. Shape is becoming clearer. Tip still slightly swollen.
Month 3-6
Refinement continues. Tip definition is improving. Near-final result visible.
Month 12-18
Final result. All swelling resolved. Skin fully contracted to the new framework.

DISCLAIMER: This case study is for informational purposes only and does not constitute medical advice. Individual results may vary based on nasal anatomy, skin thickness, and healing response. Rhinoplasty results take 12-18 months to fully mature. Consult a qualified plastic surgeon to understand what is achievable for your specific anatomy. Patient feedback published with written consent. Patient identity withheld per confidentiality guidelines.

AVAILABLE 24/7

Dr. Harikiran Chekuri

MBBS, MD, MCh (Plastic Surgery)

Redefine Hair Transplant & Plastic Surgery Centre, Hyderabad

redefineu.in  |  +91 92371 23456

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