Treatment of the nasal hump with preservation of the cartilaginous framework

Classically, nasal hump reduction is based on the partial resection of the cartilages and bones of the nose, as it was described by Joseph almost a ce ntury ago. The cartilaginous portion of the hump consists of a single unity ; formed by the two upper lateral cartilages and the septal cartilage. Duri ng hump reduction in the classic rhinoplasty, this structure is slashed in three pieces, which is the main cause of irregularities, shadows, and pinch ings over the longterm results. Late follow-ups of the classical hump remov al often show an inverted V-shaped shadow oil the dorsum secondary to the d estruction of the osseous-cartilaginous transition. The angle and relation between the septal and upper lateral cartilages are reduced, which may comp romise the functional aspect. The destruction of the unique anatomy of the cartilaginous hump is one of the main causes of this functional and aesthet ic sequela. Here, we present a technique that preserves the cartilaginous f ramework of die nasal hump by lowering it through the resection of a strip of septum, avoiding the problems described above.